Dr Samuel A Adesoba, MD - Medicare Emergency Medicine in Houston, TX

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Dr Samuel A Adesoba, MD is a medicare enrolled "Emergency Medicine" physician in Houston, Texas. His current practice location is 9639 Fondren Road, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 962-4055.

Dr Samuel A Adesoba is licensed to practice in Texas (license number K7235) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023122371.

Contact Information

Dr Samuel A Adesoba, MD
9639 Fondren Road,
Houston, TX 77096
(713) 962-4055
(713) 962-4055

Map and Direction




Physician's Profile

Full NameDr Samuel A Adesoba
GenderMale
SpecialityEmergency Medicine
Location9639 Fondren Road, Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023122371
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 09/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668375734
  • Enrollment ID: I20040128000448

Medical Identifiers

Medical identifiers for Dr Samuel A Adesoba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023122371NPI-NPPES
138035423MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine K7235 (Texas)Secondary
208D00000XGeneral Practice K7235 (Texas)Secondary
207P00000XEmergency Medicine K7235 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel A Adesoba allows following entities to bill medicare on his behalf.
Entity NameSouthwest Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831299122
PECOS PAC ID: 6204882947
Enrollment ID: O20050325000524
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameTexan Star Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972606168
PECOS PAC ID: 7416059514
Enrollment ID: O20070620000127
Entity NameEmergency Hospital Systems Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992172019
PECOS PAC ID: 2567765761
Enrollment ID: O20170607000131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel A Adesoba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel A Adesoba, MD
P.o. Box 711047,
Houston, TX 77271

Ph: (713) 962-4055		Dr Samuel A Adesoba, MD
9639 Fondren Road,
Houston, TX 77096

Ph: (713) 962-4055

Reviews and Comments


Emergency Medicine Doctors in Houston, TX

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Hashim Zaidi, M.D.
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Dr. Miguel A Nieto, D.O.
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Thomas Alan Gerbus, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.