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

Siji Samuel, ANP

Individual provider Nurse Practitioner · NPI 1801567359

Siji Samuel, ANP is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Dallas Nephrology Associates, a 154-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

411 N Washington Ave Ste 6000
Dallas, TX 75246-1789
Phone: (214) 358-2300
Fax: (214) 579-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1029999 (TX)

Record details

NPI number1801567359
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address1505 Lbj Fwy Ste 700, Dallas, TX 75234-6065

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dallas Nephrology Associates — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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