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MRS. MICHELLE MARIE SAMPOLL
NPI 1255077863
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 06, 2022PECOS Enrolled
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, May 6, 2022 (2 updates tracked since 2022).

About Mrs. Michelle Marie Sampoll NPPES

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

MRS. MICHELLE MARIE SAMPOLL (NPI 1255077863) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255077863
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. MICHELLE MARIE SAMPOLL
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing AddressPo Box 9046Ponce, PR 00732-9046 · (787) 900-4307
Phone(312) 864-6000
Sole ProprietorNo
Enumeration DateMay 6, 2022
Last NPPES UpdateAugust 2, 20252 updates tracked since enumeration
NPPES CertifiedAugust 2, 2025
✔ NPI 1255077863 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.
1969 W OGDEN AVE, 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)

Mrs. Michelle Marie Sampoll 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 20

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

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

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 Michelle Sampoll's NPI number?

The NPI number for Michelle Sampoll is 1255077863. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Michelle Sampoll located?

Michelle Sampoll practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Michelle Sampoll's specialty?

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

Is Michelle Sampoll enrolled in Medicare?

Yes. Michelle Sampoll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Sampoll was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.