DR. SAMUEL UCHECHUKWU UGURU MD
NPI 1104653708
Internal Medicine in Chicago, IL

Q: What is Samuel Uguru's NPI number?

The NPI number for Samuel Uguru is 1104653708. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Q: What is Samuel Uguru's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Uguru was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 17, 2024PECOS Enrolled

4646 N MARINE DR, CHICAGO, IL 60640(773) 564-5225(773) 564-5226 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Samuel Uchechukwu Uguru Md NPPES

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

DR. SAMUEL UCHECHUKWU UGURU MD (NPI 1104653708) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125083135) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104653708

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SAMUEL UCHECHUKWU UGURUCredential: MD

Location Address4646 N MARINE DRChicago, IL 60640-5759

Mailing Address817 W Lakeside Pl Apt 210Chicago, IL 60640-5142 · (872) 368-2968

Phone(773) 564-5225

Fax(773) 564-5226

Sole ProprietorNo

Enumeration DateSeptember 17, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1104653708 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 · 125083135

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.

4646 N MARINE DR, Chicago, IL 60640

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Uchechukwu Uguru 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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.