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SAMANTHA ANNE STEPHEN DO
NPI 1154958346
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 26, 2020PECOS Enrolled
2121 W HARRISON ST, CHICAGO, IL 60612(312) 666-0500 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2024, Mar 26, 2020 (2 updates tracked since 2020).

About Samantha Anne Stephen Do NPPES

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

SAMANTHA ANNE STEPHEN DO (NPI 1154958346) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154958346
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA ANNE STEPHENCredential: DO
Location Address2121 W HARRISON STChicago, IL 60612-3705
Mailing Address2121 W Harrison StChicago, IL 60612-3705
Phone(312) 666-0500
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1154958346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2121 W HARRISON ST, Chicago, IL 60612
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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)

Samantha Anne Stephen Do 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.

Other Providers at the Same Location NPPES 8

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

DR. MICHEL TAWIL MD
Pathology (Forensic Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 666-0500
MRS. ANFISA BAIANDUROVA MD
Student in an Organized Health Care Education/Training Program
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (503) 703-4967
MICHEL HUMILIER M.D.
Pathology (Forensic Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 997-4512
DR. JOHN-LUKE RIVERA MD
Pathology (Forensic Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 666-0500
STEPHANIE M POWERS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 666-0500
REEMA KHAN M.D.
Pathology (Forensic Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (630) 340-7425
DR. PONNI ARUNKUMAR MD
Pathology (Forensic Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 666-0500
VALERIE ARANGELOVICH M.D.
Pathology (Forensic Pathology)
2121 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 997-4435

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 Samantha Stephen's NPI number?

The NPI number for Samantha Stephen is 1154958346. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Samantha Stephen located?

Samantha Stephen practices at 2121 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 666-0500.

What is Samantha Stephen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Stephen enrolled in Medicare?

Yes. Samantha Stephen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Stephen was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.