SAMANTHA CHIRUNOMULA QUARLESS MD
NPI 1639524119
Internal Medicine - Addiction Medicine in Willimantic, CT
About Samantha Chirunomula Quarless Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA CHIRUNOMULA QUARLESS MD (NPI 1639524119) is an individual addiction medicine provider in Willimantic, Connecticut, licensed in Connecticut (86668) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Accepted Insurance
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 Chirunomula Quarless 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Quarless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60616
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1669493466 (Illinois)
- 2,127 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Illinois Hospital And Clinics
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
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 Quarless's NPI number?
The NPI number for Samantha Quarless is 1639524119. It was assigned to this individual provider in the NPPES registry on May 3, 2016.
Where is Samantha Quarless located?
Samantha Quarless practices at 289 Windham Rd, Willimantic, CT 06226. The listed phone number is (203) 630-5256.
What is Samantha Quarless's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.
Is Samantha Quarless enrolled in Medicare?
Yes. Samantha Quarless 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 organization bills Medicare for Samantha Quarless's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Quarless reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Quarless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Quarless accept?
Health plans from Ambetter Health and Oscar Health list Samantha Quarless 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 Quarless affiliated with any hospitals?
According to CMS data, Samantha Quarless is affiliated with University Of Illinois Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Samantha Quarless was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Samantha Chirunomula Quarless, MD · NPI 1639524119
Addiction Medicine physician in Willimantic, Connecticut. Individual provider, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1639524119 (Entity type: Individual)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **State license:** 86668 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 289 WINDHAM RD, Willimantic, CT 06226-3528
- **Phone:** (203) 630-5256
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Board Of Trustees Of The University Of Illinois (NPI 1295751220, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639524119) · Data from the CMS NPPES public registry.