KAHEA DYVONNE SAMMONS
NPI 1154821296
Counselor - Professional in Chicago, IL
About Kahea Dyvonne Sammons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAHEA DYVONNE SAMMONS (NPI 1154821296) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.013606) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Kahea Dyvonne Sammons 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 Reassignments
2Medicare enrollment records show Kahea Sammons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cambridge, MA 02139
- Reassigned Medicare billing, Texas enrollment
San Francisco, CA 94131
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Brightside Medical PA
- 50 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.
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.
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 Kahea Sammons's NPI number?
The NPI number for Kahea Sammons is 1154821296. It was assigned to this individual provider in the NPPES registry on February 15, 2018.
Where is Kahea Sammons located?
Kahea Sammons practices at 2310 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 566-4527.
What is Kahea Sammons's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kahea Sammons enrolled in Medicare?
Yes. Kahea Sammons 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 Kahea Sammons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kahea Sammons reassigns Medicare benefits to 2 organizations: Cartwheel Health Services PC (Cambridge, MA) and Brightside Medical, P.A. (San Francisco, CA). 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 Kahea Sammons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kahea Sammons accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health and Moda Health Plan, Inc. and 1 other insurer list Kahea Sammons 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.
When was this NPI record last updated?
The NPPES record for Kahea Sammons was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Kahea Dyvonne Sammons · NPI 1154821296
Professional provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since February 15, 2018.
## Identity
- **NPI:** 1154821296 (Entity type: Individual)
- **Enumerated:** February 15, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.013606 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2310 W ROOSEVELT RD, Chicago, IL 60608-1131
- **Phone:** (312) 566-4527
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cartwheel Health Services PC (NPI 1912633975, Cambridge, MA); Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154821296) · Data from the CMS NPPES public registry.