Individual provider Active NPI

Samuel L Siegler,II, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1720162076
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4703 Issued in TX
Practice address
1200 Binz St
Suite 1300
Houston, TX 77004-6900
Phone
(713) 526-8372
Fax
(713) 526-8248
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H4703 TX Primary

Addresses

Primary practice location

1200 Binz St
Suite 1300
Houston, TX 77004-6900

Mailing address

1200 Binz
Suite 1300
Houston, TX 77004-6699
Phone (713) 526-8372

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
I20101207000884 TX Practitioner - Family Practice 0941497630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4703TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1720162076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ",
            "address_2": "SUITE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046699",
            "telephone_number": "713-526-8372",
            "fax_number": "713-526-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "SUITE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046900",
            "telephone_number": "713-526-8372",
            "fax_number": "713-526-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLER,II",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.