SAMANTHA KOZAK LIEM NP
NPI 1275979312
Nurse Practitioner - Adult Health in Arlington Heights, IL

Q: What is Samantha Liem's NPI number?

The NPI number for Samantha Liem is 1275979312. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Q: What is Samantha Liem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Liem was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment

1415 S ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60005(847) 439-1005 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2023, Apr 30, 2021, Aug 16, 2018 (3 updates tracked since 2018).

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About Samantha Kozak Liem Np NPPES

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

SAMANTHA KOZAK LIEM NP (NPI 1275979312) is an individual adult health provider in Arlington Heights, Illinois, licensed in Illinois (209017903) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275979312

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSAMANTHA KOZAK LIEMCredential: NP

Location Address1415 S ARLINGTON HEIGHTS RDArlington Heights, IL 60005-3765

Mailing AddressPo Box 7630Gurnee, IL 60031-7002 · (847) 244-6320

Phone(847) 439-1005

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 16, 2013

Last NPPES UpdateJune 19, 20233 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1275979312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209017903

1415 S ARLINGTON HEIGHTS RD, Arlington Heights, IL 60005

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Other Identifiers 1

Medicaid1275979312WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Samantha Kozak Liem Np 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.

PECOS PAC ID5092957886

PECOS Enrollment IDI20180905001373

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.

Medicare Billing Reassignments

Medicare enrollment records show Samantha Liem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Illinois Gastroenterology Group, LLC

18 mi

Gastroenterology

745 FLETCHER DRIVE
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
235 clinicians in this Medicare group

NPI 1316277817 (847) 888-1300

Indianapolis Gastroenterology, LLC

194 mi

Gastroenterology

8051 S EMERSON AVE STE 200
Indianapolis, IN 46237

Reassigned Medicare billing, Indiana enrollment
20 clinicians in this Medicare group

NPI 1518964493 (317) 865-2955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

130 services130 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 17

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

NORTHWEST ENDO CENTER LLC

Clinic/Center (Ambulatory Surgical)