Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrey Samodumov, MD

Individual provider Anesthesiology Physician · NPI 1447665104

Andrey Samodumov, MD is an Anesthesiology in Dallas, Texas. Graduated from University of Texas Medical School at San Antonio in 2014, 12 years ago. Practices with Texas Ips LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone: (972) 715-5000
Fax: (972) 715-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-4321

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence R7314 (TX)

Record details

NPI number1447665104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 21, 2014
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2014 (12 years in practice)
Group practice Texas Ips Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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