Individual provider Active NPI

Samuel Lefebvre Dickman, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1669826350
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S1389 Issued in TX
Practice address
920 San Pedro Ave
San Antonio, TX 78212-4607
Phone
(210) 736-2475
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S1389 TX Primary

Addresses

Primary practice location

920 San Pedro Ave
San Antonio, TX 78212-4607

Mailing address

2140 Babcock Rd
San Antonio, TX 78229-4424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520001467 MT Practitioner - Internal Medicine 7618216987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Planned Parenthood IncGroup PAC ID 1850294570, 6 clinicians

Practice addresses (Care Compare)

1844 Broadwater Ave
Suite 4
Billings, MT 59102-4875
Phone (406) 656-9980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S1389TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood Inc CurrentSince Mar 23, 2022 Accepting new patients
Planned Parenthood Cameron County Past Accepting new patients
Planned Parenthood San Antonio Past Accepting new patients
Planned Parenthood Association of Cameron & Willacy Counties, Inc. Past Accepting new patients
Planned Parenthood San Antonio Past Accepting new patients
Family Planning Associates of San Antonio Past Accepting new patients

Locations

1844 Broadwater Ave
Ste 4
Billings, MT 59102
Phone (406) 656-9980

1116 Grand Ave
Ste 201
Billings, MT 59102

1643 Lewis Ave
Ste 211
Billings, MT 59102

1500 Cannon St
Helena, MT 59601
Phone (406) 248-3637

219 E Main St
Missoula, MT 59802
Phone (406) 303-3485

Interoperability endpoints

  • Direct secure messaging: samuel.dickman.md.3@6461.direct.athenahealth.com
  • Direct secure messaging: samuel.dickman.md.1@6461.direct.athenahealth.com
  • Direct secure messaging: samuel.dickman.md.2@6461.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1669826350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124607",
            "telephone_number": "210-736-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "SAMUEL",
        "middle_name": "LEFEBVRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.