ASHWATH JONATHAN SAMPATH MD
NPI 1003470832
Dermatology in Chapel Hill, NC

Q: What is Ashwath Sampath's NPI number?

The NPI number for Ashwath Sampath is 1003470832. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Q: What is Ashwath Sampath's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashwath Sampath was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2019PECOS EnrolledAccepts Medicare Assignment

410 MARKET ST STE 400, CHAPEL HILL, NC 27516(984) 974-3839(984) 974-3692 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2024, Jun 20, 2024, May 10, 2021 and 2 more (5 updates tracked since 2019).

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About Ashwath Jonathan Sampath Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHWATH JONATHAN SAMPATH MD (NPI 1003470832) is an individual dermatology provider in Chapel Hill, North Carolina, licensed in Illinois (036.169691) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003470832

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameASHWATH JONATHAN SAMPATHCredential: MD

Location Address410 MARKET ST STE 400Chapel Hill, NC 27516-4061

Mailing Address410 Market St Ste 400Chapel Hill, NC 27516-4061 · (984) 974-3839 · Fax (984) 974-3692

Phone(984) 974-3839

Fax(984) 974-3692

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2020

Enumeration DateApril 26, 2019

Last NPPES UpdateJuly 17, 20245 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1003470832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in IL · 036.169691

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

410 MARKET ST STE 400, Chapel Hill, NC 27516

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Secondary Practice Locations 2

Location 13660 Vista AveSaint Louis, MO 63110-2540 · Phone (314) 977-6100 · Fax (314) 977-6164

Location 214343 White Birch Valley LnChesterfield, MO 63017-2413 · Phone (314) 809-7028

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashwath Jonathan Sampath Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345667192

PECOS Enrollment IDI20250708001779

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ashwath Sampath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology And Mohs Surgery Institute, Ltd.

624 mi

Specialist

303 N HERSHEY RD STE B
Bloomington, IL 61704

Reassigned Medicare billing, Illinois enrollment
10 clinicians in this Medicare group

NPI 1770828626 (309) 451-3376

Soderstrom Dermatology Center S C

664 mi

Dermatology

4909 N GLEN PARK PLACE RD
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
31 clinicians in this Medicare group

NPI 1710931670 (309) 674-7546

University Health Physicians

879 mi

Internal Medicine

2301 HOLMES ST
Kansas City, MO 64108

Reassigned Medicare billing, Missouri enrollment
518 clinicians in this Medicare group

NPI 1669456257 (816) 404-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

208 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services75 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

55 services52 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

30 services30 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

29 services25 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

16 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260048

Location2301 Holmes StreetKansas City, MO 64108 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYSON R MIEDEMA MD

Dermatology

410 MARKET ST STE 400, DEPARTMENT OF DERMATOLOGY
CHAPEL HILL, NC 27516

Orange County (919) 966-2485

SHWETA SHUKLA MD

Dermatology