SAMANTHA MARIE HLEBAK DO
NPI 1366182818
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 31, 2022PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-7171 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Marie Hlebak Do NPPES

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

SAMANTHA MARIE HLEBAK DO (NPI 1366182818) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2022).

NPPES Registry Identity

NPI1366182818
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA MARIE HLEBAKCredential: DO
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address7432 Quail Meadow LnCharlotte, NC 28210-5127 · (704) 942-8065
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2022
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1366182818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
530 NE GLEN OAK AVE, Peoria, IL 61637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Marie Hlebak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092221481
PECOS Enrollment IDI20250722004092
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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Samantha Hlebak's NPI number?

The NPI number for Samantha Hlebak is 1366182818. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Samantha Hlebak located?

Samantha Hlebak practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-7171.

What is Samantha Hlebak's specialty?

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

Is Samantha Hlebak enrolled in Medicare?

Yes. Samantha Hlebak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Hlebak was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.