Organization Active NPI

Samuel Alianell MD PA

  • Physical Medicine & Rehabilitation Physician
  • Shenandoah, TX
National Provider Identifier
1710133996
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J4688 Issued in TX
Legal business name
SAMUEL ALIANELL MD PA
Practice address
111 Vision Park Blvd
Suite 140
Shenandoah, TX 77384-3002
Phone
(936) 321-0214
Fax
(936) 271-0219
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Samuel John Alianell, M.D.NPI 1427039411
Title
Medical Director
Phone
(936) 321-0214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X J4688 TX Primary

Addresses

Primary practice location

111 Vision Park Blvd
Suite 140
Shenandoah, TX 77384-3002

Mailing address

6700 Woodlands Pkwy
Ste 230 Box 260
The Woodlands, TX 77382-2575
Phone (936) 321-0214

Other identifiers 2

IdentifierTypeStateIssuer
DP1927OtherTXRAILROAD MEDICARE GROUP NUMBER
00Z520OtherTXMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000611 TX Part B Supplier - Clinic/Group Practice 4385711332 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

111 Vision Park Blvd
Ste 140
Shenandoah, TX 77384
Phone (281) 363-2777

6700 Woodlands Pkwy
Ste 230260
Spring, TX 77382

6700 Woodlands Pkwy
Ste 230
The Woodlands, TX 77382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1710133996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WOODLANDS PKWY",
            "address_2": "STE 230 BOX 260",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822575",
            "telephone_number": "936-321-0214",
            "fax_number": "936-271-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "SUITE 140",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "936-321-0214",
            "fax_number": "936-271-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL ALIANELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "ALIANELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-321-0214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DP1927",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00Z520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.