SAMUEL DAVID MOUNCE MD
NPI 1851145304
Student in an Organized Health Care Education/Training Program in Olympia Fields, IL

Active since April 12, 2024PECOS Enrolled
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(708) 747-4000 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel David Mounce Md NPPES

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

SAMUEL DAVID MOUNCE MD (NPI 1851145304) is an individual student in an organized health care education/training program in Olympia Fields, Illinois and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851145304
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL DAVID MOUNCECredential: MD
Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010
Mailing Address20201 Crawford AveOlympia Fields, IL 60461-1010 · (708) 747-4000
Sole ProprietorNo
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
NPI 1851145304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20201 CRAWFORD AVE, Olympia Fields, IL 60461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel David Mounce 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.

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.

Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Physical Therapy Assistant
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Student in an Organized Health Care Education/Training Program
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Obstetrics & Gynecology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Urology
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Anesthesiology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

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 Mounce's NPI number?

The NPI number for Samuel Mounce is 1851145304. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Samuel Mounce located?

Samuel Mounce practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (708) 747-4000.

What is Samuel Mounce's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Mounce enrolled in Medicare?

Yes. Samuel Mounce is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Mounce was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.