Individual provider Active NPI

Sam Alexander Samarrai, MD

  • Family Medicine Physician
  • Temple, TX
National Provider Identifier
1972000461
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME152025 Issued in FL
Practice address
2027 S 61St St Ste 120
Temple, TX 76504-6817
Phone
(254) 314-8990
Fax
(254) 566-1357
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME152025 FL Primary
Family Medicine Physician 207Q00000X V6097 TX

Addresses

Primary practice location

2027 S 61St St Ste 120
Temple, TX 76504-6817

Mailing address

2027 S 61St St Ste 120
Temple, TX 76504-6817
Phone (254) 314-8990

Other identifiers 2

IdentifierTypeStateIssuer
YDQK6OtherFLFLORIDA BLUE
111404100MedicaidFL

Other names 1

  • Mr. Sam Hussam Sadio Al-Samrrai Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210824003148 FL Practitioner - Family Practice 2264837517 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6097TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Health Care of Pinellas LLC Family Medicine CurrentSince Aug 4, 2021 Accepting new patients
Optimale Health PLLC CurrentSince Nov 18, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Aug 4, 2021 Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Jan 1, 2025 Accepting new patients
Peer Collective Inc CurrentSince Jul 28, 2024 Accepting new patients
Tampa Medical Group Family Medicine Current Accepting new patients
QMC LLC Past Accepting new patients

Locations

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

8133 54th Ave N
St Petersburg, FL 33709
Phone (727) 541-4458

2027 S 61st St
Ste 120
Temple, TX 76504
Phone (254) 314-8990

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 7

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1972000461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 S 61ST ST STE 120",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046817",
            "telephone_number": "254-314-8990",
            "fax_number": "254-566-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 S 61ST ST STE 120",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046817",
            "telephone_number": "254-314-8990",
            "fax_number": "254-566-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARRAI",
        "first_name": "SAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME152025",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V6097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "YDQK6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111404100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "AL-SAMRRAI",
            "middle_name": "HUSSAM SADIO",
            "prefix": "MR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.