DR. SAMUEL DAVID TRI DO
NPI 1083935076
Family Medicine in Chicago, IL
About Dr. Samuel David Tri Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL DAVID TRI DO (NPI 1083935076) is an individual family medicine provider in Chicago, Illinois, licensed in New Mexico (A-1733-13) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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. Samuel David Tri Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Tri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87105
- Reassigned Medicare billing, New Mexico enrollment
- 36 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lovelace Women's Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tri's NPI number?
The NPI number for Samuel Tri is 1083935076. It was assigned to this individual provider in the NPPES registry on June 14, 2010. The provider is also known as Samuel Tri Do.
Where is Samuel Tri located?
Samuel Tri practices at 30 W Monroe St, Chicago, IL 60603. The listed phone number is (312) 733-9730.
What is Samuel Tri's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel Tri enrolled in Medicare?
Yes. Samuel Tri 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 Tri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Tri reassigns Medicare benefits to Oak Street Health Physicians Group Of New Mexico LLC (Albuquerque, NM). 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 Tri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Tri affiliated with any hospitals?
According to CMS data, Samuel Tri is affiliated with Lovelace Women's Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Tri was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Samuel David Tri, DO · NPI 1083935076
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 14, 2010.
## Identity
- **NPI:** 1083935076 (Entity type: Individual)
- **Enumerated:** June 14, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A-1733-13 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 W MONROE ST, Chicago, IL 60603-2495
- **Phone:** (312) 733-9730 · **Fax:** (312) 929-0373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oak Street Health Physicians Group Of New Mexico LLC (NPI 1134793151, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2010
## Record status
- **NPPES last updated:** July 5, 2022
- **Other identifiers:** Medicaid 79237371 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1083935076) · Data from the CMS NPPES public registry.