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ESHAN MICHAEL SAMUEL M.D.
NPI 1164831186
Pediatrics - Pediatric Gastroenterology in Springfield, IL

Active since August 04, 2014PECOS Enrolled
400 N 9TH ST, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eshan Michael Samuel M.d. NPPES

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

ESHAN MICHAEL SAMUEL M.D. (NPI 1164831186) is an individual pediatric gastroenterology provider in Springfield, Illinois, licensed in Illinois (036-151007) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164831186
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameESHAN MICHAEL SAMUELCredential: M.D.
Location Address400 N 9TH STSpringfield, IL 62702-5310
Mailing Address201 E Madison St Ste 300Springfield, IL 62702-5131 · (217) 545-3787
Phone(217) 545-8000
Sole ProprietorYes
Enumeration DateAugust 4, 2014
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1164831186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in IL · 036-151007
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 N 9TH ST, Springfield, IL 62702
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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)

Eshan Michael Samuel M.d. 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 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

KAITLYN M WALTERS MSN, WHNP-BC
Nurse Practitioner (Women's Health)
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. SAMANTHA WALLIS ELIZABETH KNIGHT MD
Surgery (Pediatric Surgery)
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
AHMED G. MAMI M.D.
Surgery (Pediatric Surgery)
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
KERBY SCANLAN APRN
Nurse Practitioner
400 N 9TH ST, 2ND FLOOR, CLINIC 2A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SUSAN PAPPAS
Registered Nurse (Lactation Consultant)
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MAYA HINES
Obstetrics & Gynecology
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 454-6498
JENNIFER INNESS LCSW
Social Worker (Clinical)
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ABBY N SIEGRIST FNP-C
Nurse Practitioner
400 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Eshan Samuel's NPI number?

The NPI number for Eshan Samuel is 1164831186. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Eshan Samuel located?

Eshan Samuel practices at 400 N 9th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Eshan Samuel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Eshan Samuel enrolled in Medicare?

Yes. Eshan Samuel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eshan Samuel was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.