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DR. SAMUEL HARALDSON M.D.
NPI 1891994224
Emergency Medicine in Fort Worth, TX

Active since July 16, 2007PECOS Enrolled
1651 W ROSEDALE ST, #200, FORT WORTH, TX 76104(817) 335-4316(817) 336-2504 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Haraldson M.d. NPPES

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

DR. SAMUEL HARALDSON M.D. (NPI 1891994224) is an individual emergency medicine provider in Fort Worth, Texas, licensed in Texas (L9230) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891994224
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMUEL HARALDSONCredential: M.D.
Location Address1651 W ROSEDALE ST, #200Fort Worth, TX 76104-7437
Mailing Address1651 W Rosedale St, #200Fort Worth, TX 76104-7437 · (817) 335-4316 · Fax (817) 336-2504
Phone(817) 335-4316
Fax(817) 336-2504
Sole ProprietorYes
Enumeration DateJuly 16, 2007
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1891994224 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 · L9230
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 ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License L9230 (TX)
1651 W ROSEDALE ST, Fort Worth, TX 76104
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Haraldson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
231 services218 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
192 services182 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
82 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 8

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

CINDY LITTLEHALE
Specialist/Technologist (Athletic Trainer)
1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 810-0001
WILLIAM HORACE MITCHELL M.D.
Orthopaedic Surgery
1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
JACK ANDREW WILL
Student in an Organized Health Care Education/Training Program
1651 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 257-4212
TARRA LEIGH POWER SAHIM DPT, MSPT, CSCS, ATC
Physical Therapist
1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 810-0001
TEXAS HEALTH CARE, PLLC
Non-Pharmacy Dispensing Site
1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
TORRANCE ANTHONY WALKER M.D.
Orthopaedic Surgery
1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
DR. JUSTIN WALTER FAIRLESS DO
Emergency Medicine
1651 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 257-6633
DR. MAHA KHAN MD
Surgery
1651 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 257-4212

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 Samuel Haraldson's NPI number?

The NPI number for Samuel Haraldson is 1891994224. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Samuel Haraldson located?

Samuel Haraldson practices at 1651 W Rosedale St #200, Fort Worth, TX 76104. The listed phone number is (817) 335-4316.

What is Samuel Haraldson's specialty?

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

Is Samuel Haraldson enrolled in Medicare?

Yes. Samuel Haraldson is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Haraldson accept?

Health plans from Blue Cross and Blue Shield of Texas list Samuel Haraldson 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.

When was this NPI record last updated?

The NPPES record for Samuel Haraldson was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.