MR. SAMUEL K NDINJIAKAT PA-C
NPI 1174858815
Physician Assistant - Medical in Dallas, TX

Active since October 14, 2009PECOS Enrolled
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 228-6348(214) 456-6154 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Samuel K Ndinjiakat Pa-c NPPES

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

MR. SAMUEL K NDINJIAKAT PA-C (NPI 1174858815) is an individual medical provider in Dallas, Texas, licensed in Texas (PA06435) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174858815
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. SAMUEL K NDINJIAKATCredential: PA-C
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 228-6348 · Fax (214) 456-6154
Fax(214) 456-6154
Sole ProprietorNo
Enumeration DateOctober 14, 2009
Last NPPES UpdateJuly 8, 2010
NPI 1174858815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA06435
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA06435 (TX)
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Samuel K Ndinjiakat Pa-c 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Ndinjiakat's NPI number?

The NPI number for Samuel Ndinjiakat is 1174858815. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Samuel Ndinjiakat located?

Samuel Ndinjiakat practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 228-6348.

What is Samuel Ndinjiakat's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samuel Ndinjiakat enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Ndinjiakat was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.