Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMIRATOU SOUDRE APRN
NPI 1861320723
Nurse Practitioner - Family in Olympia Fields, IL

Q: What is Samiratou Soudre's NPI number?

The NPI number for Samiratou Soudre is 1861320723. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Q: What is Samiratou Soudre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samiratou Soudre was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 May 11, 2026PECOS Enrolled

20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(708) 855-7100(708) 503-3296 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, May 11, 2026 (2 updates tracked since 2026).

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About Samiratou Soudre Aprn NPPES

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

SAMIRATOU SOUDRE APRN (NPI 1861320723) is an individual family provider in Olympia Fields, Illinois, licensed in Illinois (209.035147) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2025).

NPPES Registry Identity

NPI1861320723

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMIRATOU SOUDRECredential: APRN

Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010

Mailing Address2337 Bilstone DrLynwood, IL 60411-1577 · (773) 807-2092

Phone(708) 855-7100

Fax(708) 503-3296

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2025

Enumeration DateMay 11, 2026

Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1861320723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.035147

20201 CRAWFORD AVE, Olympia Fields, IL 60461

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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)

Samiratou Soudre Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658835046

PECOS Enrollment IDI20260716001576

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 60461 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.

MR. PRANEET SATYENDRA MYLAVARAPU MD

Hospitalist

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 855-7297

CHINTAN SHAH DO

Hospitalist

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

MICHAEL JOSEPH MULLAN II PTA

Physical Therapy Assistant

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 852-2540

MARIA STEPHANIE TICSA

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

DR. TONI SCOTT-TERRY MD

Obstetrics & Gynecology

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 679-2160

DR. JOSEPH JOHN ZANGHI D.O.

Urology

20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

CONSULTANTS IN PATHOLOGY SC

Pathology (Anatomic Pathology & Clinical Pathology)

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

SAMUEL L MACAGBA JR. MD

Anesthesiology

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 503-3857

AISHA BAGGIA

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

MR. ORIUS CARTER

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

CHRISTOPHER VELTKAMP DO

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

ANAND KUMAR GUPTA M.D.

Hospitalist

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 679-2160

SHREYA KONDLE

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 855-7021

DR. ADAM SCHWEITZER DO

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

LAILA BUDHWANI CRNA

Nurse Anesthetist, Certified Registered

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 503-3857

NABIHA HAIDER DO

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

DR. ZACHARY ZYLSTRA DO

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

ANGELA JOHNSON

Speech-Language Pathologist

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 852-2564

MARK ATKINSON VANGORDER MD

Pathology (Anatomic Pathology & Clinical Pathology)

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

CHRISTINE YOUNG KIM D.O.

Student in an Organized Health Care Education/Training Program

20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461

Cook County (708) 747-4000

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 Samiratou Soudre's NPI number?

The NPI number for Samiratou Soudre is 1861320723. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Samiratou Soudre located?

Samiratou Soudre practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (708) 855-7100.

What is Samiratou Soudre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samiratou Soudre enrolled in Medicare?

Yes. Samiratou Soudre is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samiratou Soudre was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.