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WALEED SALAH SAMARA PHYSICIAN ASSISTANT
NPI 1710845029
Physician Assistant in Romeoville, IL

Active since January 14, 2026PECOS Enrolled
637 N INDEPENDENCE BLVD, ROMEOVILLE, IL 60446(708) 620-4111 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waleed Salah Samara Physician Assistant NPPES

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

WALEED SALAH SAMARA PHYSICIAN ASSISTANT (NPI 1710845029) is an individual physician assistant in Romeoville, Illinois and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710845029
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALEED SALAH SAMARACredential: PHYSICIAN ASSISTANT
Location Address637 N INDEPENDENCE BLVDRomeoville, IL 60446-1342
Mailing Address637 N Independence BlvdRomeoville, IL 60446-1342
Phone(708) 620-4111
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 14, 2026
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1710845029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
637 N INDEPENDENCE BLVD, Romeoville, IL 60446
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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 (PECOS)

Waleed Salah Samara Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719462605
PECOS Enrollment IDI20260330000072
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 60446 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

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

ROMEOVILLE URGENT CARE PLLC
Internal Medicine
637 N INDEPENDENCE BLVD
ROMEOVILLE, IL 60446
Will County (708) 620-4111

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 Waleed Samara's NPI number?

The NPI number for Waleed Samara is 1710845029. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Waleed Samara located?

Waleed Samara practices at 637 N Independence Blvd, Romeoville, IL 60446. The listed phone number is (708) 620-4111.

What is Waleed Samara's specialty?

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

Is Waleed Samara enrolled in Medicare?

Yes. Waleed Samara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Waleed Samara was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.