Individual provider Active NPI

Anthony O. Gambrah Sampaney, MD. FACP

  • Internal Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1891787115
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9675 Issued in TX
Practice address
7980 Anchor Dr
Building 400
Port Arthur, TX 77642-8266
Phone
(409) 729-7030
Fax
(409) 729-7015
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9675 TX Primary

Addresses

Primary practice location

7980 Anchor Dr
Building 400
Port Arthur, TX 77642-8266

Mailing address

PO Box 20477
Beaumont, TX 77720-0477
Phone (409) 729-7030

Other identifiers 1

IdentifierTypeStateIssuer
143474801MedicaidTX

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
I20050610000121 TX Practitioner - Internal Medicine 5890738884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7980 Anchor Dr
Suite 400
Port Arthur, TX 77642-8271
Phone (409) 729-7030

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prucare Home Health Agency, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Southeast Texas Internal Medicine, PA Internal Medicine CurrentSince May 1, 2001 Accepting new patients

Locations

3000 39th St
Ste 102
Port Arthur, TX 77642
Phone (409) 983-7161

7980 Anchor Dr
Ste 400
Port Arthur, TX 77642
Phone (409) 722-9797

Organizations & group practices 2

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.

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1891787115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20477",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777200477",
            "telephone_number": "409-729-7030",
            "fax_number": "409-729-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR",
            "address_2": "BUILDING 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428266",
            "telephone_number": "409-729-7030",
            "fax_number": "409-729-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRAH SAMPANEY",
        "first_name": "ANTHONY",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "MD. FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143474801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.