Individual provider Active NPI

Samantha A. Hall, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Midland, TX
National Provider Identifier
1942592803
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692184 Issued in TX
Practice address
2002 W Ohio Ave
Midland, TX 79701
Phone
(432) 221-4243
Fax
(432) 221-5981
NPI assigned
May 11, 2011
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2411 MA
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003735 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 782 TN
Foot & Ankle Surgery Podiatrist 213ES0103X 692184 TX Primary

Addresses

Primary practice location

2002 W Ohio Ave
Midland, TX 79701

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 221-4243

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.hall.1@3522.direct.athenahealth.com Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001484 TX Practitioner - Podiatry 9234359316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Suite 120
Midland, TX 79701-5849
Phone (432) 684-6962

4214 Andrews Hwy
Suite 240
Midland, TX 79703-4817
Phone (432) 221-4243

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 686-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
36.003735OHMDFoot & Ankle Surgery Podiatrist
692184TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc CurrentSince Jan 1, 2025 Accepting new patients
Lower Cape Podiatry, LLC Foot & Ankle Surgery CurrentSince Nov 30, 2025 Accepting new patients
Maumee Bay Foot & Ankle Specialists Foot & Ankle Surgery PastSince Nov 1, 2010 Accepting new patients
Manuel S Bernardo M D Inc Past Accepting new patients
Premier Physicians Past Accepting new patients

Locations

4 Granite State Ct
Brewster, MA 02631
Phone (508) 225-1100

4 Granite State Ct
#6
Brewster, MA 02631

2002 W Ohio Ave
Midland, TX 79701
Phone (432) 221-4243

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.hall.1@3522.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1942592803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-221-4243",
            "fax_number": "432-221-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-221-4243",
            "fax_number": "432-221-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SAMANTHA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2411",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003735",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "782",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.hall.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2002 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.