DR. SAMUEL Y TESFAY M.D.
NPI 1811196553
Internal Medicine - Gastroenterology in Chicago, IL

Q: What is Samuel Tesfay's NPI number?

The NPI number for Samuel Tesfay is 1811196553. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Q: What is Samuel Tesfay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Tesfay was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 12, 2007PECOS EnrolledAccepts Medicare Assignment

850 N STATE ST, 17G, CHICAGO, IL 60610(312) 335-1609 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Samuel Y Tesfay M.d. NPPES

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

DR. SAMUEL Y TESFAY M.D. (NPI 1811196553) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (36111625) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2001).

NPPES Registry Identity

NPI1811196553

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SAMUEL Y TESFAYCredential: M.D.

Location Address850 N STATE ST, 17GChicago, IL 60610-8665

Mailing Address850 N State St, 17gChicago, IL 60610-8665 · (312) 335-1609

Phone(312) 335-1609

Sole ProprietorYes

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2001

Enumeration DateJuly 12, 2007

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1811196553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 36111625

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

850 N STATE ST, Chicago, IL 60610

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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 and accepts Medicare assignment

Dr. Samuel Y Tesfay M.d. 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 ID6709953748

PECOS Enrollment IDI20150320000011

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 60610 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 2

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

AA SPEECH LINK

Speech-Language Pathologist

850 N STATE ST, 2E
CHICAGO, IL 60610

Cook County (773) 206-7997

VASILIKITSA ANTONOPOULOS M.A., CCC-SLP

Speech-Language Pathologist

850 N STATE ST, 2E
CHICAGO, IL 60610

Cook County (773) 206-7997

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 Samuel Tesfay's NPI number?

The NPI number for Samuel Tesfay is 1811196553. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Samuel Tesfay located?

Samuel Tesfay practices at 850 N State St 17G, Chicago, IL 60610. The listed phone number is (312) 335-1609.

What is Samuel Tesfay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Samuel Tesfay enrolled in Medicare?

Yes. Samuel Tesfay 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.

When was this NPI record last updated?

The NPPES record for Samuel Tesfay was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.