DR. SAMANTHA RAE GREEN MD
NPI 1609435205
Family Medicine in Fort Cavazos, TX
About Dr. Samantha Rae Green Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMANTHA RAE GREEN MD (NPI 1609435205) is an individual family medicine provider in Fort Cavazos, Texas, licensed in Arizona (61277) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samantha Rae Green Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT CAVAZOS, TX 76544
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 Green's NPI number?
The NPI number for Samantha Green is 1609435205. It was assigned to this individual provider in the NPPES registry on June 7, 2019.
Where is Samantha Green located?
Samantha Green practices at 590 Medical Center Road, Fort Cavazos, TX 76544. The listed phone number is (254) 288-8280.
What is Samantha Green's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Green enrolled in Medicare?
Yes. Samantha Green is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Green was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Samantha Rae Green, MD · NPI 1609435205
Family Medicine physician in Fort Cavazos, Texas. Individual provider, active in the CMS NPPES registry since June 7, 2019.
## Identity
- **NPI:** 1609435205 (Entity type: Individual)
- **Enumerated:** June 7, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 61277 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 590 MEDICAL CENTER ROAD, Fort Cavazos, TX 76544
- **Phone:** (254) 288-8280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609435205) · Data from the CMS NPPES public registry.