MR. PREM KUMAR SAMUEL M.D.
NPI 1043266380
Specialist in Overland Park, KS

Q: What is Prem Samuel's NPI number?

The NPI number for Prem Samuel is 1043266380. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Prem Samuel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Prem Samuel was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 26, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5701 W 119TH ST, SUITE 120, OVERLAND PARK, KS 66209(913) 906-0833(816) 523-5747 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Prem Kumar Samuel M.d. NPPES

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

MR. PREM KUMAR SAMUEL M.D. (NPI 1043266380) is an individual specialist in Overland Park, Kansas, licensed in Kansas (29521) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1043266380

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. PREM KUMAR SAMUELCredential: M.D.

Location Address5701 W 119TH ST, SUITE 120Overland Park, KS 66209-3721

Mailing Address5701 W 119th St, Suite 120Overland Park, KS 66209-3721 · (913) 906-0833 · Fax (816) 523-5747

Phone(913) 906-0833

Fax(816) 523-5747

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateMay 26, 2006

Last NPPES UpdateJanuary 21, 2014

✔ NPI 1043266380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KS · 29521

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5701 W 119TH ST, Overland Park, KS 66209

Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedQO5B577MO · Medicare

Medicare ID-Type UnspecifiedQO5B577AKS · Medicare

Medicaid100416510BKS

Medicaid205761604MO

Medicaid100416510CKS

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

Mr. Prem Kumar Samuel M.d. 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 ID6901702554

PECOS Enrollment IDI20031212000305, I20050323000813

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 Prem Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Heart & Vascular Specialists, LLC

Same address

Cardiovascular Disease

5701 W 119TH ST STE 430
Overland Park, KS 66209

Reassigned Medicare billing, Kansas and Missouri enrollments
74 clinicians in this Medicare group

NPI 1760736615 (913) 253-3000

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Initial removal of wedge of lung tissue using an endoscope 32666

This procedure involves the use of an endoscope, a thin tube with a light and camera, to view and remove a small wedge of lung tissue. It's performed to diagnose or treat lung conditions. The process is minimally invasive, reducing recovery time.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

Research Medical Center

Acute Care Hospitals · Kansas City, MO

2/5 CMS rating

OwnershipProprietary

CMS Certification Number260027

Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County

Emergency services Birthing friendly

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260095

Location19600 East 39th StreetIndependence, MO 64057 · Jackson County

Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260190

Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County

Emergency services

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information

100%57 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KIMBERLY FOLEY NAGEL ARNP

Nurse Practitioner

5701 W 119TH ST, SUITE 345
OVERLAND PARK, KS 66209

Johnson County (913) 339-9046

DR. ANDREW B KAUFMAN M. D.

Neurological Surgery

5701 W 119TH ST, SUITE 215
OVERLAND PARK, KS 66209

Johnson County (888) 942-2774

MIDWEST CARDIOVASCULAR AND THORACIC SURGEONS OF KANSAS, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

5701 W 119TH ST, SUITE 120
OVERLAND PARK, KS 66209

Johnson County (816) 523-7088

RACHEL HELENE SOSLAND MD

Internal Medicine (Cardiovascular Disease)

5701 W 119TH ST, 430
OVERLAND PARK, KS 66209

Johnson County (913) 253-3000

DR. KENNETH ALLAN BUCHWACH M.D.

Otolaryngology (Facial Plastic Surgery)

5701 W 119TH ST, SUITE 320
OVERLAND PARK, KS 66209

Johnson County (913) 491-1400

MID-AMERICA RHEUMATOLOGY CONSULTANTS

Specialist

5701 W 119TH ST, SUITE 209
OVERLAND PARK, KS 66209

Johnson County (913) 661-9980

VICKI A LEVI PA

Physician Assistant (Medical)

5701 W 119TH ST, SUITE 410
OVERLAND PARK, KS 66209

Johnson County (913) 345-3650

DR. HAMNER HANNAH M.D.

Specialist

5701 W 119TH ST, SUITE 120
OVERLAND PARK, KS 66209

Johnson County (913) 906-0833

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 Prem Samuel's NPI number?

The NPI number for Prem Samuel is 1043266380. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Prem Samuel located?

Prem Samuel practices at 5701 W 119th St Suite 120, Overland Park, KS 66209. The listed phone number is (913) 906-0833.

What is Prem Samuel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Prem Samuel enrolled in Medicare?

Yes. Prem Samuel 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 Prem Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prem Samuel reassigns Medicare benefits to Midwest Heart & Vascular Specialists, LLC (Overland Park, KS). 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 Prem Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prem Samuel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Prem Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prem Samuel affiliated with any hospitals?

According to CMS data, Prem Samuel is affiliated with Overland Park Reg Med Ctr, Research Medical Center, Centerpoint Medical Center and Lee's Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Prem Samuel was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.