AHMED SAMRA MD
NPI 1790537884
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Ahmed Samra's NPI number?

The NPI number for Ahmed Samra is 1790537884. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Q: What is Ahmed Samra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmed Samra was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 03, 2024PECOS EnrolledAccepts Medicare Assignment

6410 FANNIN ST STE 1400, HOUSTON, TX 77030(832) 325-7125(713) 512-2200 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ahmed Samra Md NPPES

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

AHMED SAMRA MD (NPI 1790537884) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790537884

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAHMED SAMRACredential: MD

Location Address6410 FANNIN ST STE 1400Houston, TX 77030-5389

Mailing Address6410 Fannin St Ste 1400Houston, TX 77030-5389 · (832) 325-7125 · Fax (713) 512-2200

Phone(832) 325-7125

Fax(713) 512-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 3, 2024

NPPES CertifiedMarch 31, 2024

✔ NPI 1790537884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6410 FANNIN ST STE 1400, Houston, TX 77030

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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

Ahmed Samra 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 ID648740159

PECOS Enrollment IDI20260526003078

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.

JASMINE MIAO PENG MD

Student in an Organized Health Care Education/Training Program