SAMUEL ASSAM P
NPI 1881323905
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Samuel Assam's NPI number?

The NPI number for Samuel Assam is 1881323905. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Q: What is Samuel Assam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Assam was last updated on September 12, 2023. 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, 2022PECOS EnrolledAccepts Medicare Assignment

213 N MORGAN ST UNIT 1D, CHICAGO, IL 60607(312) 888-2986 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Assam P NPPES

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

SAMUEL ASSAM P (NPI 1881323905) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209024296) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881323905

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSAMUEL ASSAMCredential: P

Location Address213 N MORGAN ST UNIT 1DChicago, IL 60607-1721

Mailing Address486 W Boughton Rd # BBolingbrook, IL 60440-2399 · (630) 566-2090 · Fax (833) 646-2087

Phone(312) 888-2986

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 6, 2022

Last NPPES UpdateSeptember 12, 2023

NPPES CertifiedSeptember 12, 2023

✔ NPI 1881323905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209024296

213 N MORGAN ST UNIT 1D, Chicago, IL 60607

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Secondary Practice Location 1

Location 1850 N Irving Park RdChicago, IL 60607 · Phone (312) 888-2986

Other Identifiers 1

Other2021033717IL · Ancc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Samuel Assam P 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 ID4082086772

PECOS Enrollment IDI20230206002072

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

67 services47 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

54 services24 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60607 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 8

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

KELLI FARLOW LCSW

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