SAMANTHA CHILDERS, DPM — NPI 1790837425 (Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery in ROANOKE, TX)

CMS-1500 Box 24J / 33a • NPI

1790837425

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

213ES0103X (CMS 48)

Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery

Box 32 Service Location & ZIP+4

351 W. BYRON NELSON BLVD, SUITE 100, ROANOKE, TX, 76262

Official NPPES Practice Location

Practice Phone & Referral Fax

(415) 602-2048

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790837425 (SAMANTHA CHILDERS, DPM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790837425` (NPI-1 Individual Practitioner)
Provider / Legal Name	SAMANTHA CHILDERS, DPM
Plain-English Specialty	Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery NUCC Code: `213ES0103X` (Podiatrist, Foot & Ankle Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	351 W. BYRON NELSON BLVD, SUITE 100, ROANOKE, TX, 76262
Practice Telephone / Fax	Tel: (415) 602-2048
Administrative Mailing Address	1224 N HIGHWAY 377 # 303-151, ROANOKE, TX, 76262-9103
Enumeration & Last Sync	Enumerated: 2007-01-16 \| CMS Record Updated: 2020-09-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

351 W. BYRON NELSON BLVD, SUITE 100, ROANOKE, TX, 76262

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Plain-English Taxonomy & CMS Crosswalk (213ES0103X)

What Does Taxonomy Code 213ES0103X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist, Foot & Ankle Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SAMANTHA CHILDERS, DPM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`213ES0103X` — Podiatrist, Foot & Ankle Surgery Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery	State: TX \| License: `1931` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SAMANTHA CHILDERS, DPM (NPI #1790837425)