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DR. RONALD E SAM D.O.
NPI 1073537643
Internal Medicine in Oak Lawn, IL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
9900 SOUTHWEST HWY, OAK LAWN, IL 60453(708) 422-7758(708) 422-8154 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2025, Jan 31, 2019 (2 updates tracked since 2019).

About Dr. Ronald E Sam D.o. NPPES

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

DR. RONALD E SAM D.O. (NPI 1073537643) is an individual internal medicine provider in Oak Lawn, Illinois, licensed in Illinois (336055662) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1073537643
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RONALD E SAMCredential: D.O.
Location Address9900 SOUTHWEST HWYOak Lawn, IL 60453-3724
Mailing Address9900 Southwest HwyOak Lawn, IL 60453-3724 · (708) 422-7758 · Fax (708) 422-8154
Phone(708) 422-7758
Fax(708) 422-8154
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1073537643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 336055662
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9900 SOUTHWEST HWY, Oak Lawn, IL 60453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Ronald E Sam D.o. 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 ID7618861188
PECOS Enrollment IDI20040929000137
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

8

Medicare enrollment records show Ronald Sam reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Donte Medical Corporation
Same address
Internal Medicine
9900 SOUTHWEST HWY
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Donte' Medical S C
NPI 1063514065 (708) 422-7940
Home Health Medical LLC
Same address
Internal Medicine
9900 SOUTHWEST HWY
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
NPI 1578665907 (708) 422-7758
Quality Healthcare International PLLC
Same address
Internal Medicine
9900 SOUTHWEST HWY
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
NPI 1093514184 (773) 519-3648
4D Healthware, LLC
15 mi
Case Manager/Care Coordinator
401 N MICHIGAN AVE STE 1740
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1407333685 (224) 633-9472
Lake County Acute Care, LLP
35 mi
Family Medicine
150 W HALF DAY RD
Buffalo Grove, IL 60089
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1720185911 (847) 215-0000
Sound Physicians Of Illinois, LLC
248 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Memorial Hospital
283 mi
Critical Access
1900 STATE ST
Chester, IL 62233
  • Reassigned Medicare billing, Illinois enrollment
  • 62 clinicians in this Medicare group
NPI 1851390132 (618) 826-4581
Lakeland Regional Health Systems, Inc.
997 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251

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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
482 services141 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
379 services119 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
64 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
30 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Breast Cancer Screening
50%40 patients3/55-star benchmark: 93%
Cervical Cancer Screening
17%42 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
18%66 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
73%73 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
52%42 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
93%42 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
23%265 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
73%45 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%209 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
9%187 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%190 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 169 patients
92%169 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
59%76 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 51 patients
Patients totalRate: 6% · 52 patients
6%52 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DONTE MEDICAL CORPORATION
Internal Medicine
9900 SOUTHWEST HWY
OAK LAWN, IL 60453
Cook County (708) 422-7940
QUALITY HEALTHCARE INTERNATIONAL PLLC
Internal Medicine
9900 SOUTHWEST HWY
OAK LAWN, IL 60453
Cook County (773) 519-3648
HEALTH CENTER OF EXCELLENCE
Internal Medicine
9900 SOUTHWEST HWY
OAK LAWN, IL 60453
Cook County (708) 200-6615
HOME HEALTH MEDICAL LLC
Internal Medicine
9900 SOUTHWEST HWY
OAK LAWN, IL 60453
Cook County (708) 422-7758

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 Ronald Sam's NPI number?

The NPI number for Ronald Sam is 1073537643. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Ronald Sam located?

Ronald Sam practices at 9900 Southwest Hwy, Oak Lawn, IL 60453. The listed phone number is (708) 422-7758.

What is Ronald Sam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ronald Sam enrolled in Medicare?

Yes. Ronald Sam 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 organizations bill Medicare for Ronald Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Sam reassigns Medicare benefits to 8 organizations: Donte Medical Corporation (Oak Lawn, IL), Home Health Medical LLC (Oak Lawn, IL), Quality Healthcare International PLLC (Oak Lawn, IL), 4D Healthware, LLC (Chicago, IL), Lake County Acute Care, LLP (Buffalo Grove, IL) and 3 more organizations, listed in the Medicare section above. 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 Ronald Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Sam accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ronald Sam 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 Ronald Sam affiliated with any hospitals?

According to CMS data, Ronald Sam is affiliated with Osf Little Company Of Mary Medical Center and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Ronald Sam was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.