SAMEER PHALAK M.D.
NPI 1215208285
Hospitalist in Houston, TX

Active since January 23, 2012PECOS EnrolledAccepts Medicare Assignment
1635 NORTH LOOP W, HOUSTON, TX 77008(713) 867-2066 Get Directions Write a Review

NPPES record last updated: March 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2020, Feb 27, 2020, Sep 29, 2016 (3 updates tracked since 2016).

About Sameer Phalak M.d. NPPES

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

SAMEER PHALAK M.D. (NPI 1215208285) is an individual hospitalist provider in Houston, Texas, licensed in Texas (P8979) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Conroe, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1215208285
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSAMEER PHALAKCredential: M.D.
Location Address1635 NORTH LOOP WHouston, TX 77008-1532
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-6353 · Fax (713) 704-3086
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 23, 2012
Last NPPES UpdateMarch 21, 20203 updates tracked since enumeration
NPPES CertifiedMarch 21, 2020
NPI 1215208285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · P8979
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License P8979 (TX), ME114105 (FL)
1635 NORTH LOOP W, Houston, TX 77008

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sameer Phalak M.d. 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.

PECOS PAC ID6305146648
PECOS Enrollment IDI20170725002045
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%113 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers60 claims60 services$14.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers102 claims102 services$65.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims47 services$30.48 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$11.90 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$5.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1635 NORTH LOOP W
HOUSTON, TX 77008
Emergency Medicine
1635 NORTH LOOP W
HOUSTON, TX 77008
Emergency Medicine
1635 NORTH LOOP W
HOUSTON, TX 77008
Emergency Medicine
1635 NORTH LOOP W
HOUSTON, TX 77008
Physician Assistant
1635 NORTH LOOP W
HOUSTON, TX 77008
Nurse Practitioner
1635 NORTH LOOP W
HOUSTON, TX 77008
Emergency Medicine
1635 NORTH LOOP W
HOUSTON, TX 77008
Emergency Medicine
1635 NORTH LOOP W
HOUSTON, TX 77008

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 Sameer Phalak's NPI number?

The NPI number for Sameer Phalak is 1215208285. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Sameer Phalak located?

Sameer Phalak practices at 1635 North Loop W, Houston, TX 77008. The listed phone number is (713) 867-2066.

What is Sameer Phalak's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sameer Phalak enrolled in Medicare?

Yes. Sameer Phalak 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.

What insurance does Sameer Phalak accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sameer Phalak 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 Sameer Phalak affiliated with any hospitals?

According to CMS data, Sameer Phalak is affiliated with Hca Houston Healthcare Conroe and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Sameer Phalak was last updated on March 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.