Organization Active NPI

Samer Tawakkol MD PA

  • Pediatric Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1902025000
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
L1762 Issued in TX
Legal business name
SAMER TAWAKKOL MD PA
Practice address
12121 Richmond Ave Ste 408
Houston, TX 77082-2439
Phone
(281) 293-8307
Fax
(281) 293-9984
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Samer Tawakkol, MDNPI 1518937358
Title
President
Phone
(281) 293-8307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XP3100X L1762 TX Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 408
Houston, TX 77082-2439

Mailing address

12121 Richmond Ave Ste 408
Houston, TX 77082-2439
Phone (281) 293-8307

Other identifiers 1

IdentifierTypeStateIssuer
152347401MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1902025000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822439",
            "telephone_number": "281-293-8307",
            "fax_number": "281-293-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822439",
            "telephone_number": "281-293-8307",
            "fax_number": "281-293-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER TAWAKKOL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "TAWAKKOL",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-293-8307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "L1762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152347401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.