David Edward Samara, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G5564 Issued in TX

Practice address

7777 Forest Lane, BLDG. B 300
Dallas, TX 75230-2571

Phone

(972) 284-7770

Fax

(972) 284-7780

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: david.samara.p1@direct.thc.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/9229/brand/1/csg/1/fhir/r4

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.

• David E. Samara, M.D., P.a.

  • Pediatrics Physician
  • Plano, TX
  • NPI 1467678029
  NPD (past)
• Forest Lane Pediatrics

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1225173107
  NPD (past)
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1962401174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE, BLDG. B 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-284-7770",
            "fax_number": "972-284-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 Coit Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750350531",
            "country_code": "US",
            "telephone_number": "972-526-0700",
            "fax_number": "972-526-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Lane, Bldg. B 308",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "972-284-7770",
            "fax_number": "972-284-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Republic Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751506918",
            "country_code": "US",
            "telephone_number": "972-629-2250",
            "fax_number": "972-629-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMARA",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G5564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092163704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092163703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Sama, PHARMD
• Farid Samadzada, DC
• Aaron Samadzadah, CAA
• Jaclyn Nicole Samaniego
• Ahmed Samara, MD
• Kamalanthan Kolandavelu Sambandam, M.D.
• Robert Samczuk, LPC
• Sameer Fino MD
• Sameer S. Jejurikar, M.D., P.a.
• Samin Professional Services LLC

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.