Individual provider Active NPI

Samuel Martin Santala, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Webster, TX
National Provider Identifier
1942404553
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M6865 Issued in TX
Practice address
500 Medical Center Blvd FL 2
Webster, TX 77598-4220
Phone
(716) 688-7040
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M6865 TX Primary

Addresses

Primary practice location

500 Medical Center Blvd FL 2
Webster, TX 77598-4220

Mailing address

PO Box 744127
Dallas, TX 75374-4127
Phone (281) 338-3208

Other identifiers 1

IdentifierTypeStateIssuer
187357201MedicaidTX

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
I20070828000204 TX Practitioner - Pathology 4284726860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Pennsylvania State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mangini Lakhia and Associates PAGroup PAC ID 5799740338, 9 clinicians

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 370
Houston, TX 77043-2742
Phone (713) 271-6881

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mangini, Lakhia and Associates, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Aug 20, 2012 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

1140 Business Center Dr
Ste 370
Houston, TX 77043
Phone (713) 271-4133

3200 Wilcrest Dr
Ste 600
Houston, TX 77042

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Fl 2
Webster, TX 77598
Phone (281) 338-3209

Interoperability endpoints

  • Direct secure messaging: samuel.santala.1@13131.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1942404553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753744127",
            "telephone_number": "281-338-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD FL 2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984220",
            "telephone_number": "716-688-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTALA",
        "first_name": "SAMUEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M6865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187357201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.