SAMANTHA GHANAYEM BOUIKIDIS
NPI 1588083232
Family Medicine in Kenosha, WI

Q: What is Samantha Ghanayem Bouikidis's NPI number?

The NPI number for Samantha Ghanayem Bouikidis is 1588083232. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Samantha Ghanayem Bouikidis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 09, 2014PECOS Enrolled

10400 75TH ST, KENOSHA, WI 53142(262) 948-7370 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Jul 21, 2022, Nov 22, 2021 and 1 more (4 updates tracked since 2017).

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About Samantha Ghanayem Bouikidis NPPES

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

SAMANTHA GHANAYEM BOUIKIDIS (NPI 1588083232) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (67162) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2014).

NPPES Registry Identity

NPI1588083232

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSAMANTHA GHANAYEM BOUIKIDIS

Location Address10400 75TH STKenosha, WI 53142-7884

Mailing AddressPo Box 735044Chicago, IL 60673-5044

Phone(262) 948-7370

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014

Enumeration DateApril 9, 2014

Last NPPES UpdateNovember 13, 20234 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1588083232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 67162✔ Licensed in IL · 125065487

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10400 75TH ST, Kenosha, WI 53142

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Other Identifiers 2

Medicaid100070028WI

Medicaid1588083232WI

Accepted Insurance

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

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 Ghanayem Bouikidis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597060079

PECOS Enrollment IDI20170814002595

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.

Areas of Expertise CMS Part B claims 11

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.

313 services136 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

95 services95 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

61 services28 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

43 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

34 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services22 patients

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

23 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services17 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

21 services16 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.

13 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers29 claims62 services$6.25 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers16 claims19 services$1.16 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers18 claims18 services$4.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. UZMA REZVI M. D.

Anesthesiology

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DAVID B KITE PA

Physician Assistant

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-7000

MRS. SUSAN H. PERGANDE WHNP

Nurse Practitioner (Women's Health)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-6714

DAVID ERIC FARKAS MD

Emergency Medicine

10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142

Kenosha County (262) 697-7000

PAULA MICHELLE OSGOOD CRNA

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DOROTHY KATHERINE FREE

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

ZEBI FATIMA MD

Internal Medicine

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 942-5600

JENNIFER J JOHNSON RN

Registered Nurse (Critical Care Medicine)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5730

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 Ghanayem Bouikidis's NPI number?

The NPI number for Samantha Ghanayem Bouikidis is 1588083232. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Samantha Ghanayem Bouikidis located?

Samantha Ghanayem Bouikidis practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7370.

What is Samantha Ghanayem Bouikidis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Ghanayem Bouikidis enrolled in Medicare?

Yes. Samantha Ghanayem Bouikidis is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Ghanayem Bouikidis accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Samantha Ghanayem Bouikidis 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 Samantha Ghanayem Bouikidis affiliated with any hospitals?

According to CMS data, Samantha Ghanayem Bouikidis is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Samantha Ghanayem Bouikidis was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.