DR. SHIRLY SUSAN SAMUEL MD
NPI 1619506508
Internal Medicine in Oak Park, IL

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
101 MADISON ST STE 300, OAK PARK, IL 60302(708) 486-2700(708) 847-2702 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2023, Jul 2, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Dr. Shirly Susan Samuel Md NPPES

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

DR. SHIRLY SUSAN SAMUEL MD (NPI 1619506508) is an individual internal medicine provider in Oak Park, Illinois, licensed in Illinois (036.165713) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Loretto Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619506508
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHIRLY SUSAN SAMUELCredential: MD
Location Address101 MADISON ST STE 300Oak Park, IL 60302-4210
Mailing Address101 Madison St Ste 300Oak Park, IL 60302-4210 · (708) 486-2700 · Fax (708) 847-2702
Fax(708) 847-2702
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2020
Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1619506508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036.165713
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

101 MADISON ST STE 300, Oak Park, IL 60302

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

Dr. Shirly Susan Samuel Md 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 ID9032565999
PECOS Enrollment IDI20231028000422
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 4

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.

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.
172 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
124 services56 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
48 services48 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 services21 patients

Hospital Affiliations CMS Care Compare

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

Loretto Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number140083
Location645 South Central AveChicago, IL 60644 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Home Health
101 MADISON ST STE 300
OAK PARK, IL 60302
Internal Medicine (Cardiovascular Disease)
101 MADISON ST STE 300
OAK PARK, IL 60302
Internal Medicine
101 MADISON ST STE 300
OAK PARK, IL 60302
Radiology (Diagnostic Radiology)
101 MADISON ST STE 300
OAK PARK, IL 60302
Psychiatry & Neurology (Psychiatry)
101 MADISON ST STE 300
OAK PARK, IL 60302
Nurse Practitioner (Family)
101 MADISON ST STE 300
OAK PARK, IL 60302
Internal Medicine
101 MADISON ST STE 300
OAK PARK, IL 60302
Nurse Practitioner (Adult Health)
101 MADISON ST STE 300
OAK PARK, IL 60302

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 Shirly Samuel's NPI number?

The NPI number for Shirly Samuel is 1619506508. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Shirly Samuel located?

Shirly Samuel practices at 101 Madison St Ste 300, Oak Park, IL 60302. The listed phone number is (708) 486-2700.

What is Shirly Samuel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shirly Samuel enrolled in Medicare?

Yes. Shirly Samuel 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.

Is Shirly Samuel affiliated with any hospitals?

According to CMS data, Shirly Samuel is affiliated with Loretto Hospital.

When was this NPI record last updated?

The NPPES record for Shirly Samuel was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.