SAMUEL JOHN MD
NPI 1336438464
Pediatrics - Pediatric Hematology-Oncology in Dallas, TX

Q: What is Samuel John's NPI number?

The NPI number for Samuel John is 1336438464. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Q: What is Samuel John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Samuel John was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-2382(214) 456-6133 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

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About Samuel John Md NPPES

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

SAMUEL JOHN MD (NPI 1336438464) is an individual pediatric hematology-oncology provider in Dallas, Texas, licensed in Texas (Q0281) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2011).

NPPES Registry Identity

NPI1336438464

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameSAMUEL JOHNCredential: MD

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7201

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 456-2382 · Fax (214) 456-6133

Phone(214) 456-2382

Fax(214) 456-6133

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2011

Enumeration DateMarch 29, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1336438464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in TX · Q0281

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License Q0281 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Samuel John 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 ID8921375338

PECOS Enrollment IDI20170606000781

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.

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