Individual provider Active NPI

Sami Elias Constantine, M.D.

  • Obstetrics & Gynecology Physician
  • Mesquite, TX
National Provider Identifier
1811004112
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F0161 Issued in TX
Practice address
901 N Galloway Ave Ste 107
Mesquite, TX 75149-7418
Phone
(972) 288-1084
Fax
(297) 289-3374
NPI assigned
Aug 23, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F0161 TX Primary

Addresses

Primary practice location

901 N Galloway Ave Ste 107
Mesquite, TX 75149-7418

Mailing address

901 N Galloway Ave Ste 107
Mesquite, TX 75149-7418
Phone (972) 288-1084

Other identifiers 2

IdentifierTypeStateIssuer
097767003MedicaidTX
88561NOtherTXMEDICARE ID

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
I20080920000062 TX Practitioner - Obstetrics/Gynecology 8729152939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stella Mattina Health IncGroup PAC ID 5294116091, 11 clinicians

Practice addresses (Care Compare)

1135 N Bishop Ave
Dallas, TX 75208-4114
Phone (214) 388-8898

901 N Galloway Ave
Suite 107
Mesquite, TX 75149-7418
Phone (972) 288-1084

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Mattina Health Inc Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Stella Mattina Primary Care Inc PastSince Nov 10, 2024 Accepting new patients

Locations

1135 N Bishop Ave
Dallas, TX 75208
Phone (214) 388-8898

12377 Merit Dr
Ste 550
Dallas, TX 75251
Phone (214) 294-8989

901 N Galloway Ave
Ste 107
Mesquite, TX 75149
Phone (972) 216-5152

Interoperability endpoints

  • Direct secure messaging: sami.constantine@smllc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1811004112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N GALLOWAY AVE STE 107",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497418",
            "telephone_number": "972-288-1084",
            "fax_number": "297-289-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N GALLOWAY AVE STE 107",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497418",
            "telephone_number": "972-288-1084",
            "fax_number": "297-289-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINE",
        "first_name": "SAMI",
        "middle_name": "ELIAS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F0161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097767003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "88561N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.