Individual provider Active NPI

Samer M Elfallal, D.O.

  • Neurological Surgery Physician
  • Spring, TX
National Provider Identifier
1700047412
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5101017659 Issued in MI
Practice address
2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone
(281) 440-5300
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 5101017659 MI Primary

Addresses

Primary practice location

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813

Mailing address

800 Peakwood Dr Ste 5D
Houston, TX 77090-2903
Phone (517) 648-4314

Other practice location 1

800 Peakwood Dr Ste 5D
Houston, TX 77090-2903
Phone (832) 353-2498

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SAMER.ELFALLAL@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: samer.elfallal@hca9.eclinicaldirectplus.com
  • Direct secure messaging: selfallal312972@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1700047412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 5D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "517-648-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Peakwood Dr Ste 5D",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902903",
            "country_code": "US",
            "telephone_number": "832-353-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELFALLAL",
        "first_name": "SAMER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-01-04",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "5101017659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SAMER.ELFALLAL@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "800 Peakwood Dr Ste 5D",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770902903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.