1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Family Medicine
  6. NPI Profile

SAMUEL MO MD
NPI 1033805213
Family Medicine in Chicago, IL

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
820 S WOOD ST STE 100, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Apr 12, 2023 (2 updates tracked since 2023).

About Samuel Mo Md NPPES

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

SAMUEL MO MD (NPI 1033805213) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.178464) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2023).

NPPES Registry Identity

NPI1033805213
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL MOCredential: MD
Location Address820 S WOOD ST STE 100Chicago, IL 60612-4325
Mailing Address820 S Wood St Ste 100Chicago, IL 60612-4325 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2023
Enumeration DateApril 12, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1033805213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.178464
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 S WOOD ST STE 100, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 1722 W Maxwell StChicago, IL 60607-5002 · Phone (312) 996-2901

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

Samuel Mo 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 ID9335507755
PECOS Enrollment IDI20260716001439
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 Reassignment

Medicare enrollment records show Samuel Mo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
Same address
Anatomic Pathology
1819 W POLK ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1386863819 (312) 996-7312

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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 20

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

CAILEAN ELLIOT MCKAY MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
KATHERINE ELIZABETH WINEBRAKE
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. RYAN WANG BS
Neurological Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
ABHISHEK DESHPANDE MD
Orthopaedic Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 413-2048
JEFFREY CARL PETERSON MD, PHD
Ophthalmology
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MAY BARAKAT
Family Medicine
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
IMARI C MCCULLOUGH
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
LIISA M BAUMANN MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Samuel Mo's NPI number?

The NPI number for Samuel Mo is 1033805213. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Samuel Mo located?

Samuel Mo practices at 820 S Wood St Ste 100, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Samuel Mo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Mo enrolled in Medicare?

Yes. Samuel Mo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samuel Mo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Mo reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Samuel Mo'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 Samuel Mo was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.