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DR. RIYA MARY SAM MD
NPI 1124680939
Internal Medicine - Cardiovascular Disease in Evanston, IL

Active since July 01, 2019PECOS Enrolled
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 864-3278(847) 733-5986 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, Apr 29, 2021, Jul 1, 2019 (3 updates tracked since 2019).

About Dr. Riya Mary Sam Md NPPES

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

DR. RIYA MARY SAM MD (NPI 1124680939) is an individual cardiovascular disease provider in Evanston, Illinois, licensed in Illinois (125074093) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1124680939
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RIYA MARY SAMCredential: MD
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(847) 864-3278
Fax(847) 733-5986
Sole ProprietorNo
Enumeration DateJuly 1, 2019
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 11, 2023
✔ NPI 1124680939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 125074093
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125074093 (IL)
2650 RIDGE AVE STE 1304, Evanston, IL 60201
Open in Google Maps ↗

Secondary Practice Location 1

Location 13134 N Clark StChicago, IL 60657-4414 · Phone (312) 766-4949 · Fax (312) 766-4925

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. Riya Mary Sam 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 60201 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

EILEEN VERA
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
MARIANA MCCUNE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
ISRA HASNAIN
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
DR. NICOLE RENEE PALMER MD, MPH
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-1010
ERIC COOPER
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
DR. OMKAR NITIN MORE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
RICHARD WANG MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
SPENCER KIERS DO
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700

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 Riya Sam's NPI number?

The NPI number for Riya Sam is 1124680939. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Riya Sam located?

Riya Sam practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (847) 864-3278.

What is Riya Sam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Riya Sam enrolled in Medicare?

Yes. Riya Sam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Riya Sam was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.