Individual provider Active NPI

Aditya K Samal, MD

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1790744399
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L5122 Issued in TX
Practice address
13325 Hargrave Rd
Suite 100
Houston, TX 77070-4539
Phone
(281) 469-8007
Fax
(281) 469-8042
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L5122 TX Primary

Addresses

Primary practice location

13325 Hargrave Rd
Suite 100
Houston, TX 77070-4539

Mailing address

13325 Hargrave Rd
Suite 100
Houston, TX 77070-4539
Phone (281) 469-8007

Other identifiers 1

IdentifierTypeStateIssuer
156925302MedicaidTX

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
I20040804000869 TX Practitioner - Cardiovascular Disease (Cardiology) 1557332384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Specialists of Willowbrook PLLCGroup PAC ID 1759717002, 3 clinicians

Practice addresses (Care Compare)

13325 Hargrave Rd
Suite 100
Houston, TX 77070-4540
Phone (281) 469-8007

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as group
Quality
92.99
Improvement activities
40
Cost
76.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5122TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialists of Willowbrook, PLLC Cardiovascular Disease CurrentSince Jan 1, 2020 Accepting new patients
Cyfair Cardiology Assoc PA Cardiovascular Disease PastSince Sep 20, 2002 Accepting new patients

Locations

13325 Hargrave Rd
Ste 100
Houston, TX 77070
Phone (281) 469-8007

Interoperability endpoints

  • Direct secure messaging: asamal26919@directhoustonmethodist.org

Organizations & group practices 2

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1790744399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 HARGRAVE RD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704539",
            "telephone_number": "281-469-8007",
            "fax_number": "281-469-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 HARGRAVE RD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704539",
            "telephone_number": "281-469-8007",
            "fax_number": "281-469-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAL",
        "first_name": "ADITYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L5122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156925302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.