Samuel M Adu-Lartey, DO
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Katy, TX
NPI 1801096987 · NPPES record last updated Oct 16, 2014
Key facts
- NPI
- 1801096987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- P2409 (TX)
- Practice address
- 705 S Fry Rd
Suite 215
Katy, TX 77450-2251 - Phone
- (832) 321-4076
- Fax
- (832) 321-4080
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
705 S Fry Rd
Suite 225
Katy, TX 77450-2253
Phone (832) 321-4076
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121001000020 | TX | Practitioner - Orthopedic Surgery | 0446429492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT011703 | PA | MD | Orthopaedic Surgery Physician |
| P2409 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Maxwell S. Adu-Lartey PA | Orthopaedic Surgery of the Spine | Current |
Accepting new patients |
Locations
705 S Fry Rd
Ste 225
Katy, TX 77450
Phone (281) 492-7062
705 S Fry Rd
Ste 215
Katy, TX 77450
Phone (281) 579-0186
Interoperability endpoints
- sadulartey26952@directhoustonmethodist.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OT011703 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | OS11195 | FL | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | P2409 | TX | Yes |
Addresses
Primary practice location
705 S Fry Rd
Suite 215
Katy, TX 77450-2251
Mailing address
705 S Fry Rd
Suite 215
Katy, TX 77450-2251
Phone (832) 321-4076
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14CN1 | Other | FL | BCBS |
| 003735000 | Medicaid | FL | |
| 433915 | Other | FL | AVMED |
| 9208722 | Other | FL | AETNA |
Other providers in Katy, TX
- Adolab Homes LLC
- Adonai Home Healthcare, LLC
- Adore Home Healthcare LLC
- Adore Residential Services LLC
- Adriana Maria Zaharie
- Erica Francess Adusei
- Advance Help Home Care
- Advance Mobility Transportation
- Advanced Community Support LLC
- Advanced Dermatology and Skin Care PA
All providers in Katy, TX · Orthopaedic Surgery of the Spine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.