NPIMap

Individual provider Active NPI

Samantha Klapesky, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1992107676
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09443 Issued in TX
Practice address
5929 Balcones Dr
Austin, TX 78731-4296
Phone
(512) 550-1800
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA09443 TX Primary

Addresses

Primary practice location

5929 Balcones Dr
Austin, TX 78731-4296

Mailing address

1730 Maux Dr
Houston, TX 77043-3318
Phone (979) 709-2174

Other practice location 1

313 Goliad St
Clute, TX 77531
Phone (979) 709-2174

Other identifiers 1

IdentifierTypeStateIssuer
1992107676OtherTXNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141230000570 TX Practitioner - Physician Assistant 7416270319 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09443TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Health System Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Organizations & group practices 8

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1992107676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MAUX DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433318",
            "telephone_number": "979-709-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314296",
            "telephone_number": "512-550-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Goliad St",
            "address_purpose": "LOCATION",
            "city": "Clute",
            "state": "TX",
            "postal_code": "77531",
            "country_code": "US",
            "telephone_number": "979-709-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAPESKY",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1992107676",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.