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SAMUEL CULLEN WILDER MD
NPI 1902665490
Student in an Organized Health Care Education/Training Program in Kingwood, TX

Active since March 18, 2024PECOS Enrolled
22999 HWY 59 N STE 105, KINGWOOD, TX 77339(281) 348-3359 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Cullen Wilder Md NPPES

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

SAMUEL CULLEN WILDER MD (NPI 1902665490) is an individual student in an organized health care education/training program in Kingwood, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902665490
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL CULLEN WILDERCredential: MD
Location Address22999 HWY 59 N STE 105Kingwood, TX 77339-4438
Mailing Address22999 Hwy 59 N Ste 105Kingwood, TX 77339-4438 · (281) 348-3359
Phone(281) 348-3359
Sole ProprietorYes
Enumeration DateMarch 18, 2024
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1902665490 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.
22999 HWY 59 N STE 105, Kingwood, TX 77339
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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 (PECOS)

Samuel Cullen Wilder Md 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.

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.

TORI LEANNA FREEMAN DO
General Practice
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 348-8000
DR. JEROME STEVEN ARCENEAUX MD, PHD
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 348-3321
SHEHROZE AKHTER
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (713) 816-6089
ANKITA NAIR
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 348-3321
ANISAH KHAN MD
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 348-3332
DEVESH NARAYAN KASIREDDY
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 706-2037
DR. KANGMIN KIM MD
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 348-3370
DR. AAKRITI SONI MD
Student in an Organized Health Care Education/Training Program
22999 HWY 59 N STE 105
KINGWOOD, TX 77339
Harris County (281) 348-8000

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 Wilder's NPI number?

The NPI number for Samuel Wilder is 1902665490. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Samuel Wilder located?

Samuel Wilder practices at 22999 Hwy 59 N Ste 105, Kingwood, TX 77339. The listed phone number is (281) 348-3359.

What is Samuel Wilder's specialty?

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

Is Samuel Wilder enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Wilder was last updated on March 19, 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.