Individual provider Active NPI

Sam Edwin Rolon, D.O.

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1962616706
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5472 Issued in TX
Practice address
8558 Creekside Forest Dr Ste B
The Woodlands, TX 77375-2175
Phone
(832) 534-7700
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5472 TX Primary

Addresses

Primary practice location

8558 Creekside Forest Dr Ste B
The Woodlands, TX 77375-2175

Mailing address

10857 Kuykendahl Rd Ste 130
Spring, TX 77382-2936
Phone (936) 266-4150

Other practice location 1

10857 Kuykendahl Rd Ste 130
Attn: Sam Rolon, D.O.
Spring, TX 77382-2936
Phone (936) 266-4150

Other identifiers 2

IdentifierTypeStateIssuer
8AK400OtherTXBCBSTX
188396901MedicaidTX

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
I20070823000607 TX Practitioner - Family Practice 7618069543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

2255 E Mossy Oaks Rd
Suite 320
Spring, TX 77389-1812
Phone (936) 266-2190

Hospital & facility affiliations

  • Post-Health Home Care Home health agency, Houston, TX, CCN 747517
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke'S Medical Group Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Timberland Medical Group Family Medicine Past Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

2255 E Mossy Oaks Rd
Ste 320
Spring, TX 77389
Phone (832) 534-7860

8558 Creekside Forest Dr
Bldg B100
The Woodlands, TX 77375

8558 Creekside Forest Dr
Ste B
The Woodlands, TX 77375
Phone (832) 534-7700

10857 Kuykendahl Rd
Ste 130
The Woodlands, TX 77382
Phone (281) 292-4944

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: srolon39447@direct.stlukeshealth.org

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.

Hospital & facility affiliations 4

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1962616706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 130",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822936",
            "telephone_number": "936-266-4150",
            "fax_number": "936-266-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8558 CREEKSIDE FOREST DR STE B",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773752175",
            "telephone_number": "832-534-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10857 Kuykendahl Rd Ste 130",
            "address_2": "Attn: Sam Rolon, D.O.",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773822936",
            "country_code": "US",
            "telephone_number": "936-266-4150",
            "fax_number": "936-266-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLON",
        "first_name": "SAM",
        "middle_name": "EDWIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8AK400",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188396901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.