Samer C Faysal, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

798026 Issued in TX

Practice address

117 Vision Park Blvd
Shenandoah, TX 77384

Phone

(936) 443-8460

Fax

(866) 936-4875

NPI assigned

Jul 4, 2006

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Travis W. Hird, M.D. PA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Shenandoah, TX
  • NPI 1376723833
  Medicare reassignment NPD
• Conroe Physical Medicine and Rehabilitation PA

  dba Apex Physical Medicine and Rehab.

  • Chiropractor
  • Conroe, TX
  • NPI 1821280843
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1841220852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33615 WINDCREST ESTATES BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544726",
            "telephone_number": "936-756-1651",
            "fax_number": "866-936-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-443-8460",
            "fax_number": "866-936-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYSAL",
        "first_name": "SAMER",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "798026",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX8953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7788404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "606347",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "647992",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Ijeoma Onejeme Ezennaya, NP
• John M Fackler, M.D.
• Family & Senior Medical Clinic,PA
• Fas of TW LLC
• Jamie Faust, NP
• Angela Dawn Ferguson, DO
• Laura Fernandes, MD
• Gabriela Fernandez Castillo
• Jessica Nicole Ferrell, PA-C
• Dennis Roy Mendoza Ferrer, MD

• Family Nurse Practitioner in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.