DR. SAMANTHA LIGHT MD
NPI 1154069714
Pediatrics in Cedar Park, TX
About Dr. Samantha Light Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMANTHA LIGHT MD (NPI 1154069714) is an individual pediatrics provider in Cedar Park, Texas, licensed in Texas (BP10078867) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Tulane University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. Samantha Light Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Light reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Round Rock, TX 78681
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dell Childrens Medical Group
- 576 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CEDAR PARK, TX 78613
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 Samantha Light's NPI number?
The NPI number for Samantha Light is 1154069714. It was assigned to this individual provider in the NPPES registry on May 24, 2022.
Where is Samantha Light located?
Samantha Light practices at 1301 Medical Pkwy Ste 200, Cedar Park, TX 78613. The listed phone number is (512) 324-0975.
What is Samantha Light's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Samantha Light enrolled in Medicare?
Yes. Samantha Light is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Light's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Light reassigns Medicare benefits to Dell Children's Medical Group (Round Rock, 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 Samantha Light's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Light accept?
Health plans from Blue Cross and Blue Shield of Texas list Samantha Light 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 Samantha Light was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Samantha Light, MD · NPI 1154069714
Pediatrics physician in Cedar Park, Texas. Individual provider, active in the CMS NPPES registry since May 24, 2022.
## Identity
- **NPI:** 1154069714 (Entity type: Individual)
- **Enumerated:** May 24, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** BP10078867 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 MEDICAL PKWY STE 200, Cedar Park, TX 78613-2529
- **Phone:** (512) 324-0975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dell Children's Medical Group (NPI 1790103869, Round Rock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154069714) · Data from the CMS NPPES public registry.