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SAMANTHA LONG MD
NPI 1558064501
Emergency Medicine in Houston, TX

Active since March 27, 2023PECOS Enrolled
6431 FANNIN ST, HOUSTON, TX 77030(972) 207-2637 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Samantha Long Md NPPES

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

SAMANTHA LONG MD (NPI 1558064501) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (W4532) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Texas Health Hospital Mansfield, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558064501
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSAMANTHA LONGCredential: MD
Location Address6431 FANNIN STHouston, TX 77030-1501
Mailing Address6431 Fannin StHouston, TX 77030-1501 · (972) 207-2637
Phone(972) 207-2637
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2023
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1558064501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · W4532
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6431 FANNIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668943671
PECOS Enrollment IDI20260609004733
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 Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Medicine Resources, LLP
236 mi
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE 200
Fort Worth, TX 76112
  • Reassigned Medicare billing, Texas enrollment
  • 545 clinicians in this Medicare group
NPI 1376581900 (817) 496-9700

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.

Texas Health Hospital Mansfield

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670309
Location2300 Lone Star RoadMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

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.

DR. STUART MASON FRASER M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030
Harris County (713) 500-5800
AMY ROSSI MD
Emergency Medicine
6431 FANNIN ST, JJL 431
HOUSTON, TX 77030
Harris County (713) 500-7882
MATTHEW KHOA NGUYEN
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6113
MARY WAYNE PELTIER MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-5010
HANNA MAVRIC DO
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7882
DR. DAVIDE CATTANO MD
Anesthesiology
6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030
Harris County (713) 500-6235
MICHAEL ANTHONY HOLZMAN
Orthopaedic Surgery
6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030
Harris County (713) 500-5154
SHUBHANGI MEHRA
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-0798

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 Long's NPI number?

The NPI number for Samantha Long is 1558064501. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Samantha Long located?

Samantha Long practices at 6431 Fannin St, Houston, TX 77030. The listed phone number is (972) 207-2637.

What is Samantha Long's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samantha Long enrolled in Medicare?

Yes. Samantha Long is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Long reassigns Medicare benefits to Texas Medicine Resources, LLP (Fort Worth, 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 Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Long accept?

Health plans from Blue Cross and Blue Shield of Texas list Samantha Long 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 Samantha Long affiliated with any hospitals?

According to CMS data, Samantha Long is affiliated with Texas Health Hospital Mansfield.

When was this NPI record last updated?

The NPPES record for Samantha Long was last updated on April 2, 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.