Active NPI
Samuel J Pierce, MD
- Ophthalmology Physician
- San Antonio, TX
National Provider Identifier
1881700581
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.
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H9473
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118471504 | Medicaid | TX |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9473 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Associates of San Antonio | Ophthalmology | Past | 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.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1194832139
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1649391632
-
- Ophthalmology Physician
- McAllen, TX
- NPI 1225139942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.