SANJU SUSAN SAMUEL M.D.
NPI 1902022692
Pediatrics - Pediatric Critical Care Medicine in Houston, TX

Q: What is Sanju Samuel's NPI number?

The NPI number for Sanju Samuel is 1902022692. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Sanju Samuel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Sanju Samuel was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 18, 2007PECOS Enrolled

6701 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2025, Jan 21, 2016 (2 updates tracked since 2016).

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About Sanju Susan Samuel M.d. NPPES

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

SANJU SUSAN SAMUEL M.D. (NPI 1902022692) is an individual pediatric critical care medicine provider in Houston, Texas, licensed in Texas (N1124) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902022692

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameSANJU SUSAN SAMUELCredential: M.D.

Location Address6701 FANNIN STHouston, TX 77030-2608

Mailing Address2 Greenway Plz Ste 300Houston, TX 77046-0207 · (832) 828-3660

Phone(832) 824-1000

Sole ProprietorNo

Enumeration DateApril 18, 2007

Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1902022692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in TX · N1124

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License N1124 (TX)

6701 FANNIN ST, Houston, TX 77030

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Other Identifiers 2

Other8CV528TX · Bcbs

Medicaid281902101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Sanju Susan Samuel 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.

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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.

SONIA ANN MONTEIRO MD

Pediatrics (Developmental - Behavioral Pediatrics)