1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Emergency Medicine
  6. NPI Profile

DR. SAMUEL A ADESOBA MD
NPI 1023122371
Emergency Medicine in Houston, TX

Active since August 17, 2006PECOS Enrolled
9639 FONDREN ROAD, HOUSTON, TX 77096(713) 962-4055(713) 962-4055 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samuel A Adesoba Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL A ADESOBA MD (NPI 1023122371) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (K7235) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023122371
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMUEL A ADESOBACredential: MD
Location Address9639 FONDREN ROADHouston, TX 77096
Mailing AddressP.o. Box 711047Houston, TX 77271 · (713) 962-4055 · Fax (713) 962-4055
Phone(713) 962-4055
Fax(713) 962-4055
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateSeptember 19, 2019
✔ NPI 1023122371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · K7235
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License K7235 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License K7235 (TX)
9639 FONDREN ROAD, Houston, TX 77096
Open in Google Maps ↗

Other Identifiers 1

Medicaid138035423TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel A Adesoba Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Samuel Adesoba reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texan Star Emergency Physicians PLLC
34 mi
Emergency Medicine
132 E HOSPITAL DR
Angleton, TX 77515
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1972606168 (954) 939-5000
Emergency Hospital Systems LLC
52 mi
General Acute Care Hospital
1017 S TRAVIS AVE
Cleveland, TX 77327
  • Reassigned Medicare billing, Texas enrollment
  • 124 clinicians in this Medicare group
NPI 1992172019 (281) 592-5400
Southwest Medical Associates, Inc.
361 mi
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
NPI 1831299122 (940) 495-3981
Concord Medical Group PLLC
461 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Adesoba's NPI number?

The NPI number for Samuel Adesoba is 1023122371. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Samuel Adesoba located?

Samuel Adesoba practices at 9639 Fondren Road, Houston, TX 77096. The listed phone number is (713) 962-4055.

What is Samuel Adesoba's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samuel Adesoba enrolled in Medicare?

Yes. Samuel Adesoba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Adesoba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Adesoba reassigns Medicare benefits to 4 organizations: Texan Star Emergency Physicians PLLC (Angleton, TX), Emergency Hospital Systems LLC (Cleveland, TX), Southwest Medical Associates, Inc. (Electra, TX) and Concord Medical Group PLLC (Lubbock, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Adesoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Adesoba accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Samuel Adesoba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Adesoba was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.