SAM FATOOREHCHI M.D., MBA
NPI 1770932204
Family Medicine in Chicago, IL

Q: What is Sam Fatoorehchi's NPI number?

The NPI number for Sam Fatoorehchi is 1770932204. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Sam Fatoorehchi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sam Fatoorehchi was last updated on May 1, 2024. 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.

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment

2511 N KEDZIE BLVD, CHICAGO, IL 60647(773) 292-2700 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Dec 16, 2021, Aug 18, 2020 and 1 more (4 updates tracked since 2019).

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About Sam Fatoorehchi M.d., Mba NPPES

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

SAM FATOOREHCHI M.D., MBA (NPI 1770932204) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.147296) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1770932204

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAM FATOOREHCHICredential: M.D., MBA

Location Address2511 N KEDZIE BLVDChicago, IL 60647-2603

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(773) 292-2700

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 6, 2016

Last NPPES UpdateMay 1, 20244 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1770932204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036.147296✔ Licensed in IL · 125.068516

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.

2511 N KEDZIE BLVD, Chicago, IL 60647

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 545-8000 · Fax (217) 757-8161

Location 24901 W 79th St Fl 2Burbank, IL 60459-1569 · Phone (708) 499-1545

Location 3722 W Maxwell St # Mc397Chicago, IL 60607-5002 · Phone (312) 421-5205

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Sam Fatoorehchi M.d., Mba 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 ID2668764523

PECOS Enrollment IDI20190813001675

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.

Medicare Billing Reassignments

Medicare enrollment records show Sam Fatoorehchi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corp.

2.1 mi

Cardiovascular Disease

3118 N ASHLAND AVE
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1487951711 (773) 880-9722

The Board Of Trustees Of The University Of Illinois

2.8 mi

Dermatology

808 S WOOD ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1265651434 (312) 996-6966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

40 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

38 services30 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.

28 services26 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.

17 services17 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.

15 services15 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

8 suppliers14 claims34 services$5.43 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$55.79 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 13

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

SCOTT AUSTIN SCHLAGEL

Physician Assistant

2511 N KEDZIE BLVD
CHICAGO, IL 60647

Cook County (773) 292-2700

LAKE SHORE PODIATRY CENTER, LLC

Podiatrist (Foot & Ankle Surgery)

2511 N KEDZIE BLVD, 2ND FLOOR
CHICAGO, IL 60647

Cook County (773) 342-5850

JORGE ALBERTO KURGANOFF MD

Internal Medicine

2511 N KEDZIE BLVD
CHICAGO, IL 60647

Cook County (773) 292-2700

COUNTY MEDICAL GROUP LTD FINLEY W BROWN JR MD

Family Medicine

2511 N KEDZIE BLVD
CHICAGO, IL 60647

Cook County (773) 489-7040

DR. FINLEY WEBSTER BROWN JR. M.D.

Family Medicine

2511 N KEDZIE BLVD
CHICAGO, IL 60647

Cook County (773) 489-7040

GABRIELLE VANBUSKIRK

Physical Therapist

2511 N KEDZIE BLVD
CHICAGO, IL 60647

Cook County (630) 368-1771

GOLD COAST PODIATRY CENTER, LLC

Podiatrist (Foot & Ankle Surgery)

2511 N KEDZIE BLVD, 2ND FLOOR
CHICAGO, IL 60647

Cook County (773) 342-5850

JONATHAN SCHWARTZ

Physical Therapist

2511 N KEDZIE BLVD
CHICAGO, IL 60647

Cook County (630) 368-1771

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 Sam Fatoorehchi's NPI number?

The NPI number for Sam Fatoorehchi is 1770932204. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Sam Fatoorehchi located?

Sam Fatoorehchi practices at 2511 N Kedzie Blvd, Chicago, IL 60647. The listed phone number is (773) 292-2700.

What is Sam Fatoorehchi's specialty?

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

Is Sam Fatoorehchi enrolled in Medicare?

Yes. Sam Fatoorehchi 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 organizations bill Medicare for Sam Fatoorehchi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Fatoorehchi reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corp. (Chicago, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each 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 Sam Fatoorehchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Fatoorehchi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sam Fatoorehchi 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 Sam Fatoorehchi affiliated with any hospitals?

According to CMS data, Sam Fatoorehchi is affiliated with Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Sam Fatoorehchi was last updated on May 1, 2024. 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.