SAMANTHA REYNA CASTILLO-MALLORY DO
NPI 1376293845
Emergency Medicine in Chicago, IL

Active since March 26, 2022PECOS EnrolledAccepts Medicare Assignment
1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Reyna Castillo-mallory Do NPPES

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

SAMANTHA REYNA CASTILLO-MALLORY DO (NPI 1376293845) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036.180427) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1376293845
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSAMANTHA REYNA CASTILLO-MALLORYCredential: DO
Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833
Mailing Address1653 W Congress PkwyChicago, IL 60612-3833 · (312) 942-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 26, 2022
Last NPPES UpdateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1376293845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036.180427
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1653 W CONGRESS PKWY, Chicago, IL 60612

Other Names 1

Former Name (1)Samantha Nicole Mallory

Secondary Practice Location 1

Location 110301 Gateway Blvd WEl Paso, TX 79925-7701 · Phone (915) 595-9000

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 Reyna Castillo-mallory 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.

PECOS PAC ID7810460839
PECOS Enrollment IDI20260622002868
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 Samantha Castillo-mallory reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 548 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 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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 20

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

Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612
Nurse Practitioner (Psychiatric/Mental Health)
1653 W CONGRESS PKWY
CHICAGO, IL 60612

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 Castillo-mallory's NPI number?

The NPI number for Samantha Castillo-mallory is 1376293845. It was assigned to this individual provider in the NPPES registry on March 26, 2022. The provider is also known as Samantha Nicole Mallory.

Where is Samantha Castillo-mallory located?

Samantha Castillo-mallory practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Samantha Castillo-mallory's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samantha Castillo-mallory enrolled in Medicare?

Yes. Samantha Castillo-mallory 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 Samantha Castillo-mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Castillo-mallory reassigns Medicare benefits to 2 organizations: Rush University Medical Center (Chicago, IL) and Rush Medical Group (Chicago, IL). 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 Samantha Castillo-mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Castillo-mallory affiliated with any hospitals?

According to CMS data, Samantha Castillo-mallory is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Castillo-mallory was last updated on June 4, 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.