SAMUEL JIMENEZ DO
NPI 1316568710
Hospitalist in Maywood, IL
About Samuel Jimenez Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL JIMENEZ DO (NPI 1316568710) is an individual hospitalist provider in Maywood, Illinois, licensed in Illinois (036179793) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and maintains a secondary practice location in Detroit.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Samuel Jimenez Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maywood, IL 60153
- Reassigned Medicare billing, Illinois enrollment
- 1,138 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Loyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Samuel Jimenez's NPI number?
The NPI number for Samuel Jimenez is 1316568710. It was assigned to this individual provider in the NPPES registry on April 27, 2020.
Where is Samuel Jimenez located?
Samuel Jimenez practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Samuel Jimenez's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Samuel Jimenez enrolled in Medicare?
Yes. Samuel Jimenez 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 organization bills Medicare for Samuel Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Jimenez reassigns Medicare benefits to Loyola University Medical Center (Maywood, IL). The 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 Samuel Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Jimenez accept?
Health plans from Oscar Health list Samuel Jimenez 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 Samuel Jimenez affiliated with any hospitals?
According to CMS data, Samuel Jimenez is affiliated with Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Samuel Jimenez was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Samuel Jimenez, DO · NPI 1316568710
Hospitalist physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since April 27, 2020.
## Identity
- **NPI:** 1316568710 (Entity type: Individual)
- **Enumerated:** April 27, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 036179793 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (708) 216-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Loyola University Medical Center (NPI 1336159961, Maywood, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316568710) · Data from the CMS NPPES public registry.