SAMUEL SAMA – Certified Registered Nurse Anesthetist, NPI 1225382922

SAMUEL SAMA is a healthcare provider. based in Converse, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 807421 (TX). The NPI Number for SAMUEL SAMA is 1225382922

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL SAMA
NPI
1225382922
Phone
(908) 391-4857
Address
9719 KRIER CT
Enumeration Date
1 November 2012
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123699400
Graduation Year
2012 (14 years ago)
PAC ID
3577986033
Group Practice PAC ID
9436372323
Professional Enrollment ID
I20200701000783
Address ID
GA313134000HI462XXPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for SAMUEL SAMA

  • 9719 KRIER CT

    CONVERSE, TX 781091947

    Phone: (908) 391-4857

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200701000783ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery8686$0
View full utilization report →

Insurance plans in this area (ZIP 78109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436372323View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Pain Management, AnesthesiologyGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I use this page to confirm SAMUEL SAMA's NPI?
Yes. SAMUEL SAMA is listed with NPI 1225382922 in the public NPI dataset.
Is SAMUEL SAMA still practicing?
SAMUEL SAMA is currently listed as active in the public NPI registry.
What taxonomy line describes SAMUEL SAMA?
For research purposes, treat SAMUEL SAMA as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does SAMUEL SAMA serve?
SAMUEL SAMA's listing highlights Converse, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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