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SAMANTHA NICOLE LOPEZ KROGER MD
NPI 1275277303
Dermatology in Dallas, TX

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
5939 HARRY HINES BLVD FL 4, DALLAS, TX 75235(214) 756-6550 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Apr 25, 2022 (2 updates tracked since 2022).

About Samantha Nicole Lopez Kroger Md NPPES

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

SAMANTHA NICOLE LOPEZ KROGER MD (NPI 1275277303) is an individual dermatology provider in Dallas, Texas, licensed in Texas (W5850) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1275277303
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSAMANTHA NICOLE LOPEZ KROGERCredential: MD
Location Address5939 HARRY HINES BLVD FL 4Dallas, TX 75235-6246
Mailing Address111 W Davis St Apt 2535Dallas, TX 75208-4485 · (214) 534-4298
Phone(214) 756-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2022
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1275277303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · W5850
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5939 HARRY HINES BLVD FL 4, Dallas, TX 75235
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Secondary Practice Location 1

Location 13500 Gaston AveDallas, TX 75246-2017 · Phone (214) 534-4298

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

Samantha Nicole Lopez Kroger Md 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 ID4880073691
PECOS Enrollment IDI20260610000645
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 Reassignment

Medicare enrollment records show Samantha Lopez Kroger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas
0.1 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624

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

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

SYDNEY RIVERA DIXON MD, MPH
Dermatology
5939 HARRY HINES BLVD FL 4
DALLAS, TX 75235
Dallas County (214) 645-8300

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 Lopez Kroger's NPI number?

The NPI number for Samantha Lopez Kroger is 1275277303. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Samantha Lopez Kroger located?

Samantha Lopez Kroger practices at 5939 Harry Hines Blvd Fl 4, Dallas, TX 75235. The listed phone number is (214) 756-6550.

What is Samantha Lopez Kroger's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Samantha Lopez Kroger enrolled in Medicare?

Yes. Samantha Lopez Kroger 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 Samantha Lopez Kroger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Lopez Kroger reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, 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 Lopez Kroger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Lopez Kroger affiliated with any hospitals?

According to CMS data, Samantha Lopez Kroger is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Samantha Lopez Kroger was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.