SAMANTHA CHRISTINE TAMBUNAN PA-C
NPI 1528636503
Physician Assistant in Chicago, IL

Q: What is Samantha Tambunan's NPI number?

The NPI number for Samantha Tambunan is 1528636503. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Samantha Tambunan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Tambunan was last updated on December 8, 2022. 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 June 15, 2021PECOS EnrolledAccepts Medicare Assignment

675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611(312) 664-3278(312) 695-2461 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2022, Nov 1, 2022, Jun 15, 2021 (3 updates tracked since 2021).

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About Samantha Christine Tambunan Pa-c NPPES

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

SAMANTHA CHRISTINE TAMBUNAN PA-C (NPI 1528636503) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085009136) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528636503

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA CHRISTINE TAMBUNANCredential: PA-C

Location Address675 N SAINT CLAIR ST STE 19-100Chicago, IL 60611-5969

Mailing Address675 N Saint Clair St Ste 19-100Chicago, IL 60611-5969 · (312) 664-3278 · Fax (312) 695-2461

Phone(312) 664-3278

Fax(312) 695-2461

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 15, 2021

Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1528636503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085009136

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

675 N SAINT CLAIR ST STE 19-100, Chicago, IL 60611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Christine Tambunan Pa-c 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 ID6305232539

PECOS Enrollment IDI20221017001428

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.

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

LAURA JEAN DAVIDSON M.D.

Internal Medicine (Interventional Cardiology)