Samir S Keblawi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

V6962 Issued in TX

Practice address

202 SW 25TH Ave
Mineral Wells, TX 76067-8298

Phone

(940) 463-7237

Fax

(940) 463-7240

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHGAA

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.

• Palo Pinto County Hospital District

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076
  Medicare reassignment NPD
• Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
  • NPI 1326005851
  Medicare reassignment NPD
• Deer Park Family Care Clinic PS

  • Family Medicine Physician
  • Deer Park, WA
  • NPI 1548294150
  Medicare reassignment NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Palo Pinto County Hospital District

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582
  NPD
• Palo Pinto County Hospital District

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1376278366
  NPD
• Palo Pinto County Hospital District

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1922056993

  Pediatrics

  NPD
• Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
  • NPI 1679363592
  NPD
• Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
  • NPI 1881997831
  NPD
• Deer Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Deer Park, WA
  • NPI 1093741076
  NPD
• Multicare Health System

  • Diagnostic Radiology Physician
  • Tacoma, WA
  • NPI 1285121442
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1790777472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678298",
            "telephone_number": "940-463-7237",
            "fax_number": "940-463-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678298",
            "telephone_number": "940-463-7237",
            "fax_number": "940-463-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBLAWI",
        "first_name": "SAMIR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V6962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8018798",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Moore Jones, LPT
• John Jones, MD
• Kevin Bruce Jones, M.D.
• Jeemy Joseph
• Katie Nicole Kea, LPC-ASSOCIATE
• Robert Shane Kester, PHARM D
• Tommy Travis Key, DDS
• Katherine Kidd
• Colby Koenig, FNP-C
• David Charles Levin

• Pediatrics Physician in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.