KENNY SAM D.O. – NPI #1407109770
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

KENNY SAM is a radiologist located in HOUSTON, TX. NPPES has assigned the NPI number 1407109770 to KENNY SAM on October 23, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Jun 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNY SAM below.

NPI Profile for
KENNY SAM

NPI Number
1407109770
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNY SAM
Credentials
D.O.
Primary location
16750 RED OAK DR
HOUSTON, TX 77090-2543
Phone: (281) 453-7100 Fax:
Mailing address
20320 NORTHWEST FWY STE 900
JERSEY VILLAGE, TX 77065-5620
Phone: (281) 453-7232 Fax: (281) 440-2020
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 TX P6911
261QR0206X
- Clinic/Center / Radiology, Mammography		 TX P6911
2085R0204X
- Radiology / Vascular & Interventional Radiology		 TX P6911

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENNY SAM is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL HERMANN KATY HOSPITAL
      23900 KATY FREEWAY
      KATY, TX 77494
    • MEMORIAL HERMANN MEMORIAL CITY HOSPITAL
      921 GESSNER
      HOUSTON, TX 77024
    • MEMORIAL HERMANN SUGAR LAND HOSPITAL
      17500 W GRAND PARKWAY SOUTH
      SUGAR LAND, TX 77479
    • ST LUKE'S SUGAR LAND HOSPITAL
      1317 LAKE POINTE PARKWAY
      SUGAR LAND, TX 77478
    • ST LUKE'S THE WOODLANDS HOSPITAL
      17200 ST LUKE'S WAY
      THE WOODLANDS, TX 77384

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