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MADISON SAMPLE JR. MD
NPI 1023122215
Anesthesiology in Chicago, IL

Active since August 18, 2006PECOS Enrolled
56.42/100
CMS Quality Rating
7435 W TALCOTT AVE, CHICAGO, IL 60631(773) 792-5162(773) 594-8589 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madison Sample Jr. Md NPPES

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

MADISON SAMPLE JR. MD (NPI 1023122215) is an individual anesthesiology provider in Chicago, Illinois, licensed in Illinois (036093157) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023122215
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMADISON SAMPLE JR.Credential: MD
Location Address7435 W TALCOTT AVEChicago, IL 60631-3707
Mailing Address444 N Northwest Hwy, Suite # 302Park Ridge, IL 60068-3263 · (847) 696-9015 · Fax (847) 696-9017
Phone(773) 792-5162
Fax(773) 594-8589
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1023122215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 036093157✔ Licensed in IN · 01076521A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
7435 W TALCOTT AVE, Chicago, IL 60631
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Other Identifiers 3

Medicaid0360093157 2IL
Other364054341IL · Commercial Ins.group#
Other0001620300IL · Bluecross Blueshild Of Il

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Sample Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Madison Sample reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Central Anesthesiology Group Ltd
2.6 mi
Anesthesiology
9550 W HIGGINS RD STE 1100
Rosemont, IL 60018
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group
NPI 1396785648 (773) 756-5760
American Anesthesiology Associates Of Illinois, S.C.
31 mi
Anesthesiology
19627 S LA GRANGE RD
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
NPI 1962512335 (800) 243-3839
Memorial Hospital
195 mi
General Practice
1002 E M 21 STE 100
Owosso, MI 48867
  • Reassigned Medicare billing, Michigan enrollment
  • 328 clinicians in this Medicare group
NPI 1609030600 (989) 720-5400
360 Anesthesia PLLC
620 mi
Anesthesiology
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Illinois enrollment
  • 95 clinicians in this Medicare group
NPI 1811637366 (570) 829-8111

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 2

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
18 services18 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
15 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

Other Providers at the Same Location NPPES 20

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

MRS. MARISSA LYNN VARNER R.D, M.S.
Dietitian, Registered
7435 W TALCOTT AVE, HEALTH MANAGEMENT OFFICE
CHICAGO, IL 60631
Cook County (773) 594-7448
MICHAEL ANTHONY HOKS JR.
Emergency Medicine
7435 W TALCOTT AVE, RESURRECTION EM RESIDENCY
CHICAGO, IL 60631
Cook County (773) 792-7321
AKASH PATEL
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-7921
ALINA HUYNH NGUYEN DO
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-7921
DR. MOHAN PHATAK M.D.
Radiology (Pediatric Radiology)
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5138
DR. AUDREY KAY CAMERON AU.D.
Audiologist
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5258
JULIE JITENDRAKUMAR PATEL
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 990-7921
MARY RITA SABBAGH DO
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 990-5255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Sample's NPI number?

The NPI number for Madison Sample is 1023122215. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Madison Sample located?

Madison Sample practices at 7435 W Talcott Ave, Chicago, IL 60631. The listed phone number is (773) 792-5162.

What is Madison Sample's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Madison Sample enrolled in Medicare?

Yes. Madison Sample is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madison Sample's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Sample reassigns Medicare benefits to 4 organizations: West Central Anesthesiology Group Ltd (Rosemont, IL), American Anesthesiology Associates Of Illinois, S.C. (Mokena, IL), Memorial Hospital (Owosso, MI) and 360 Anesthesia PLLC (Wilkes Barre, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Sample's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madison Sample was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.