DR. ADITYA K SAMAL MD
NPI 1790744399
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
86.96/100
CMS Quality Rating
13325 HARGRAVE RD, SUITE 100, HOUSTON, TX 77070(281) 469-8007(281) 469-8042 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Aditya K Samal Md NPPES

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

DR. ADITYA K SAMAL MD (NPI 1790744399) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (L5122) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1790744399
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ADITYA K SAMALCredential: MD
Location Address13325 HARGRAVE RD, SUITE 100Houston, TX 77070-4539
Mailing Address13325 Hargrave Rd, Suite 100Houston, TX 77070-4539 · (281) 469-8007 · Fax (281) 469-8042
Fax(281) 469-8042
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 22, 2006
Last NPPES UpdateFebruary 23, 2017
NPI 1790744399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · L5122
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
13325 HARGRAVE RD, Houston, TX 77070

Other Identifiers 3

Medicare UPING34362
Medicaid156925302TX
Medicare PIN8C0288TX

Accepted 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

Dr. Aditya K Samal 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 ID1557332384
PECOS Enrollment IDI20040804000869
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.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
288 services71 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
254 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
243 services142 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
200 services99 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
156 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
140 services39 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.71
Improvement Activities40
Cost40.25

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%20 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%20 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 20 patients
Patients tobacco: 100% · 20 patients
100%20 patients5/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Internal Medicine
13325 HARGRAVE RD, SUITE 200
HOUSTON, TX 77070
Otolaryngology
13325 HARGRAVE RD, STE 270
HOUSTON, TX 77070
Internal Medicine (Cardiovascular Disease)
13325 HARGRAVE RD, 150
HOUSTON, TX 77070
Specialist
13325 HARGRAVE RD, SUITE 150
HOUSTON, TX 77070
Clinic/Center (Primary Care)
13325 HARGRAVE RD, SUITE 190
HOUSTON, TX 77070
Occupational Therapist
13325 HARGRAVE RD, SUITE 250
HOUSTON, TX 77070
Internal Medicine
13325 HARGRAVE RD, 190
HOUSTON, TX 77070
Internal Medicine (Rheumatology)
13325 HARGRAVE RD, SUITE 250
HOUSTON, TX 77070

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 Aditya Samal's NPI number?

The NPI number for Aditya Samal is 1790744399. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Aditya Samal located?

Aditya Samal practices at 13325 Hargrave Rd Suite 100, Houston, TX 77070. The listed phone number is (281) 469-8007.

What is Aditya Samal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Aditya Samal enrolled in Medicare?

Yes. Aditya Samal 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.

What insurance does Aditya Samal accept?

Health plans from Blue Cross and Blue Shield of Texas list Aditya Samal 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 Aditya Samal affiliated with any hospitals?

According to CMS data, Aditya Samal is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Aditya Samal was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.