Individual provider Active NPI

Linu Varughese Samuel, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1821356064
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9725 Issued in TX
Practice address
1 Valero Way
San Antonio, TX 78249-1616
Phone
(210) 345-4855
Fax
(210) 345-5630
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 Q9725 TX Primary

Addresses

Primary practice location

1 Valero Way
San Antonio, TX 78249-1616

Mailing address

8471 Gulf Freeway
Houston, TX 77017-4658
Phone (832) 709-2770

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
I20161013001465 TX Practitioner - Family Practice 6002123064 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Texas PLLC CurrentSince Sep 1, 2022 Accepting new patients
Dedicated Physicians Group of Texas, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Scott & White Memorial Hospital Past Accepting new patients

Locations

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

6801 San Pedro Ave
San Antonio, TX 78216
Phone (726) 224-2300

Interoperability endpoints

  • Direct secure messaging: lsamuel240593@direct.sw.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1821356064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8471 GULF FREEWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770174658",
            "telephone_number": "832-709-2770",
            "fax_number": "832-924-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VALERO WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491616",
            "telephone_number": "210-345-4855",
            "fax_number": "210-345-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "LINU",
        "middle_name": "VARUGHESE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.