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ZEBA SAMI MD
NPI 1295889046
Psychiatry & Neurology - Psychiatry in Elm Grove, WI

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
910 ELM GROVE RD STE 11B, ELM GROVE, WI 53122(262) 780-1001(262) 780-1002 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Zeba Sami Md NPPES

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

ZEBA SAMI MD (NPI 1295889046) is an individual psychiatry provider in Elm Grove, Wisconsin, licensed in Wisconsin (36085-020) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1295889046
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameZEBA SAMICredential: MD
Location Address910 ELM GROVE RD STE 11BElm Grove, WI 53122-2531
Mailing Address910 Elm Grove Rd Ste 11bElm Grove, WI 53122-2531 · (262) 780-1001 · Fax (262) 780-1002
Phone(262) 780-1001
Fax(262) 780-1002
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1295889046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 36085-020
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
910 ELM GROVE RD STE 11B, Elm Grove, WI 53122
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Other Identifiers 1

Medicaid32109800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.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

Zeba Sami Md 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 ID143114124
PECOS Enrollment IDI20040211000085
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

2

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

Sami Health Services, LLC
Same address
Mental Health (Including Community Mental Health Center)
910 ELM GROVE RD STE 11B
Elm Grove, WI 53122
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1942645510 (262) 780-1001
Waukesha County
7.8 mi
Mental Health (Including Community Mental Health Center)
514 RIVERVIEW AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 80 clinicians in this Medicare group
NPI 1033243340 (262) 548-7666

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.

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.
219 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services36 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
91 services34 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
29 services14 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53122 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 2

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

THERESA J ZAKUTANSKY MSW
Social Worker (Clinical)
910 ELM GROVE RD STE 11B
ELM GROVE, WI 53122
Waukesha County (262) 780-1001
SAMI HEALTH SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
910 ELM GROVE RD STE 11B
ELM GROVE, WI 53122
Waukesha County (262) 780-1001

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 Zeba Sami's NPI number?

The NPI number for Zeba Sami is 1295889046. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Zeba Sami located?

Zeba Sami practices at 910 Elm Grove Rd Ste 11B, Elm Grove, WI 53122. The listed phone number is (262) 780-1001.

What is Zeba Sami's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Zeba Sami enrolled in Medicare?

Yes. Zeba Sami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Zeba Sami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zeba Sami reassigns Medicare benefits to 2 organizations: Sami Health Services, LLC (Elm Grove, WI) and Waukesha County (Waukesha, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zeba Sami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zeba Sami accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Zeba Sami as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Zeba Sami affiliated with any hospitals?

According to CMS data, Zeba Sami is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Zeba Sami was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.