Active NPI
Samantha A. Hall, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 692184
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 42 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 18 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36.003735 | OH | MD | Foot & Ankle Surgery Podiatrist |
| 692184 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Care I, Inc | Current | Accepting new patients | |
| Lower Cape Podiatry, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Maumee Bay Foot & Ankle Specialists | Foot & Ankle Surgery | Past | 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
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- 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.
-
dba Premier Physicians
- General Practice Physician
- Midland, TX
- NPI 1275522864
-
- Foot & Ankle Surgery Podiatrist
- Brewster, MA
- NPI 1962364943
-
- Physician Assistant
- Midland, TX
- NPI 1316241995
-
- Internal Medicine Physician
- Oregon, OH
- NPI 1124344643
-
- Foot & Ankle Surgery Podiatrist
- Oregon, OH
- NPI 1053603282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.