DR. KENNY SAM D.O. NPI 1407109770

NPI Information

  • NPI: 1407109770
  • Provider Name: DR. KENNY SAM, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16750 RED OAK DR
    HOUSTON, TX
    ZIP 77090
  • Phone: (281) 453-7100

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NPI Details

DR. Kenny Sam, D.O. is a diagnostic radiology radiology in Houston, TX with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kenny Sam, D.O. NPI is 1407109770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2011

The provider's business location address is:

16750 RED OAK DR
HOUSTON, TX
ZIP 77090-543
Phone: (281) 453-7100

The NPI 1407109770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)

The enumeration date for this NPI number is 10/23/2012 and was last updated on 6/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyP6911TEXASNo
2261QR0206XClinic/CenterRadiology, MammographyP6911TEXASNo
32085R0202XRadiologyDiagnostic RadiologyP6911TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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