Varughese Puthenparampil Samuel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H5965 Issued in TX

Practice address

1113 Ellis Ave
Lufkin, TX 75904-3346

Phone

(936) 637-2888

Fax

(936) 634-2321

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Lufkin Physician Services PA

  • Hospitalist Physician
  • Lufkin, TX
  • NPI 1881093789
  Medicare reassignment NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922019579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043346",
            "telephone_number": "936-637-2888",
            "fax_number": "936-634-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043346",
            "telephone_number": "936-637-2888",
            "fax_number": "936-634-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "VARUGHESE",
        "middle_name": "PUTHENPARAMPIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H5965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00702N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Saldana, P.A.-C.
• Glenda Salinas
• Sally E Mulhbach Aud, PLLC
• Sam'S Club Optical
• Sams East Inc
• Sanders Dental Clinic
• Don S. Sanders, D.D.S.
• John Walter Sanders, MD
• Lindsey Jessica Stinson Sanders
• Melanie Morgan Sanders, PT

• Internal Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.