Individual provider Active NPI

Samuel J Pierce, MD

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1881700581
Registry record updated Feb 17, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H9473 Issued in TX
Practice address
1503 SW Loop 410
Suite 113
San Antonio, TX 78227-1681
Phone
(210) 656-3533
Fax
(210) 656-4493
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H9473 TX Primary

Addresses

Primary practice location

1503 SW Loop 410
Suite 113
San Antonio, TX 78227-1681

Mailing address

8601 Village Drive
Suite 224
San Antonio, TX 78217-5509
Phone (210) 656-3533

Other identifiers 1

IdentifierTypeStateIssuer
118471504MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H9473TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of San Antonio Ophthalmology PastSince Jun 1, 2005 Accepting new patients
Valley Retina Institute P.a. Ophthalmology Past Accepting new patients
Samuel R Neeley MD PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1881700581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DRIVE",
            "address_2": "SUITE 224",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-656-3533",
            "fax_number": "210-656-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SW LOOP 410",
            "address_2": "SUITE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782271681",
            "telephone_number": "210-656-3533",
            "fax_number": "210-656-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H9473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118471504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.