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DR. SAMSON MAXWELL FRENDO MD
NPI 1700469939
Emergency Medicine in Chicago, IL

Active since May 05, 2021PECOS Enrolled
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samson Maxwell Frendo Md NPPES

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

DR. SAMSON MAXWELL FRENDO MD (NPI 1700469939) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125082347) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1700469939
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMSON MAXWELL FRENDOCredential: MD
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1969 W Ogden AveChicago, IL 60612-3765 · (312) 864-6000
Phone(312) 864-6000
Sole ProprietorYes
Enumeration DateMay 5, 2021
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1700469939 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 · 125082347
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.
1969 W OGDEN AVE, Chicago, IL 60612
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Secondary Practice Location 1

Location 1600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samson Maxwell Frendo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

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 Samson Frendo's NPI number?

The NPI number for Samson Frendo is 1700469939. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Samson Frendo located?

Samson Frendo practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Samson Frendo's specialty?

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

Is Samson Frendo enrolled in Medicare?

Yes. Samson Frendo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samson Frendo was last updated on September 12, 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.