SIBY SAM
NPI 1053607051
Family Medicine in Wichita Falls, TX
About Siby Sam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIBY SAM (NPI 1053607051) is an individual family medicine provider in Wichita Falls, Texas, licensed in Texas (BP10034161) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Siby Sam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Siby Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita Falls, TX 76301
- Reassigned Medicare billing, Texas enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
United Regional Health Care System
Acute Care Hospitals · Wichita Falls, TXGraham Regional Medical Center
Critical Access Hospitals · Graham, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Siby Sam's NPI number?
The NPI number for Siby Sam is 1053607051. It was assigned to this individual provider in the NPPES registry on June 28, 2011.
Where is Siby Sam located?
Siby Sam practices at 1301 3rd St Ste 200, Wichita Falls, TX 76301. The listed phone number is (940) 767-8334.
What is Siby Sam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Siby Sam enrolled in Medicare?
Yes. Siby Sam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Siby Sam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siby Sam reassigns Medicare benefits to La Magna Health PLLC (Wichita Falls, TX). The 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 Siby Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Siby Sam accept?
Health plans from Blue Cross and Blue Shield of Texas list Siby Sam 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.
Is Siby Sam affiliated with any hospitals?
According to CMS data, Siby Sam is affiliated with United Regional Health Care System and Graham Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Siby Sam was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Siby Sam · NPI 1053607051
Family Medicine physician in Wichita Falls, Texas. Individual provider, active in the CMS NPPES registry since June 28, 2011.
## Identity
- **NPI:** 1053607051 (Entity type: Individual)
- **Enumerated:** June 28, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** BP10034161 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 3RD ST STE 200, Wichita Falls, TX 76301-2245
- **Phone:** (940) 767-8334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** La Magna Health PLLC (NPI 1699285346, Wichita Falls, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 28, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1053607051) · Data from the CMS NPPES public registry.