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SARA REBECA KANG SAMAYOA DDS
NPI 1184092231
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Active since September 07, 2015PECOS Enrolled
836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 975-1600 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Sara Rebeca Kang Samayoa Dds NPPES

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

SARA REBECA KANG SAMAYOA DDS (NPI 1184092231) is an individual oral and maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019.034051) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184092231
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameSARA REBECA KANG SAMAYOACredential: DDS
Location Address836 W WELLINGTON AVEChicago, IL 60657-5147
Mailing Address811 W Wellington AveChicago, IL 60657-5123 · (773) 871-2188 · Fax (773) 871-6353
Phone(773) 975-1600
Sole ProprietorNo
Enumeration DateSeptember 7, 2015
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1184092231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019.034051
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
836 W WELLINGTON AVE, Chicago, IL 60657
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17633 E Jefferson AveDetroit, MI 48214-3730 · Phone (313) 499-4962 · Fax (313) 499-4953
Location 2263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Rebeca Kang Samayoa Dds 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 60657 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

DR. ROBERT R TURELLI JR. MD
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5878
JAYME L. CAPPA
Speech-Language Pathologist
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-7988
DR. CHIMUANYA OKOLI MD
Internal Medicine (Sleep Medicine)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5424
DEBRA FARIDA
Nurse Anesthetist, Certified Registered
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 975-1600
MALIK SAHOURI DO
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5187
SERGIO GUTIERREZ NUNEZ MD
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5187
MS. NOREEN MARIE SHERIDAN RD. LDN,CDE
Dietitian, Registered
836 W WELLINGTON AVE, FOOD AND NUTRITION DEPT.
CHICAGO, IL 60657
Cook County (773) 296-5912
ANN M HARVEY APN, CNP
Nurse Practitioner
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-3646

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 Sara Kang Samayoa's NPI number?

The NPI number for Sara Kang Samayoa is 1184092231. It was assigned to this individual provider in the NPPES registry on September 7, 2015.

Where is Sara Kang Samayoa located?

Sara Kang Samayoa practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 975-1600.

What is Sara Kang Samayoa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sara Kang Samayoa enrolled in Medicare?

Yes. Sara Kang Samayoa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Kang Samayoa was last updated on June 18, 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.