Individual provider Active NPI

Samata Basani, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Irving, TX
National Provider Identifier
1689929820
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P5776 Issued in TX
Practice address
210 W John Carpenter Fwy Ste 100
Irving, TX 75039-2003
Phone
(469) 291-0770
Fax
(888) 443-9001
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 068176 GA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P5776 TX Primary
Internal Medicine Physician 207R00000X P5776 TX

Addresses

Primary practice location

210 W John Carpenter Fwy Ste 100
Irving, TX 75039-2003

Mailing address

210 W John Carpenter Fwy Ste 100
Irving, TX 75039-2003
Phone (469) 291-0770

Other identifiers 2

IdentifierTypeStateIssuer
414064YSFZOtherTXMEDICARE PTAN
3461097 01MedicaidTX

Other names 1

  • Samata Atluri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150610000355 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 8820246358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1153 W John Carpenter Fwy
Suite 102
Irving, TX 75039-2522

210 W John Carpenter Fwy
Suite 100
Irving, TX 75039-2003
Phone (469) 291-0770

Hospital & facility affiliations

  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P5776TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine CurrentSince Jul 7, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 7, 2018 Accepting new patients
Las Colinas Endocrinology Endocrinology, Diabetes & Metabolism CurrentSince Sep 22, 2017 Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

210 W John Carpenter Fwy
Ste 100
Irving, TX 75039
Phone (469) 291-0770

6750 N MacArthur Blvd
Ste 205
Irving, TX 75039
Phone (214) 637-0887

1153 W John Carpenter Fwy
Ste 102
Irving, TX 75039
Phone (469) 291-0770

Interoperability endpoints

  • Direct secure messaging: samata.basani.p48@direct.tenet.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEEBD/Endpoint/HIEEBD
  • Direct secure messaging: samata.basani.p50@direct.tenet.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEEBD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1689929820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W JOHN CARPENTER FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392003",
            "telephone_number": "469-291-0770",
            "fax_number": "888-443-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W JOHN CARPENTER FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392003",
            "telephone_number": "469-291-0770",
            "fax_number": "888-443-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASANI",
        "first_name": "SAMATA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "068176",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P5776",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "414064YSFZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3461097 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMATA",
            "last_name": "ATLURI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.