SAMUEL ALEXANDER LINARES GAVIDIA MD
NPI 1902468614
Anesthesiology - Pain Medicine in Chicago, IL

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 268-6000 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Oct 6, 2025, May 8, 2023 and 1 more (4 updates tracked since 2019).

About Samuel Alexander Linares Gavidia Md NPPES

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

SAMUEL ALEXANDER LINARES GAVIDIA MD (NPI 1902468614) is an individual pain medicine provider in Chicago, Illinois, licensed in Illinois (036.164584) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1902468614
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameSAMUEL ALEXANDER LINARES GAVIDIACredential: MD
Location Address1969 W OGDEN AVEChicago, IL 60612-3773
Mailing Address1969 W Ogden AveChicago, IL 60612-3773 · (312) 864-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 2, 2019
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1902468614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in IL · 036.164584
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 036164584 (IL)
1969 W OGDEN AVE, Chicago, IL 60612

Secondary Practice Location 1

Location 11390 Hope DrCarbondale, IL 62901-5306 · Phone (618) 351-4972 · Fax (618) 351-6522

Accepted 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

Samuel Alexander Linares Gavidia Md 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 ID2365899150
PECOS Enrollment IDI20231116001109
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

2

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

Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

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.

Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Dermatology
1969 W OGDEN AVE
CHICAGO, IL 60612

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 Linares Gavidia's NPI number?

The NPI number for Samuel Linares Gavidia is 1902468614. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Samuel Linares Gavidia located?

Samuel Linares Gavidia practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 268-6000.

What is Samuel Linares Gavidia's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Samuel Linares Gavidia enrolled in Medicare?

Yes. Samuel Linares Gavidia 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 Samuel Linares Gavidia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Linares Gavidia reassigns Medicare benefits to 2 organizations: Southern Illinois Medical Services, Nfp (Carbondale, IL) and Northstar Anesthesia Of Illinois, LLC (Arlington, TX). 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 Samuel Linares Gavidia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Linares Gavidia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Samuel Linares Gavidia 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 Samuel Linares Gavidia affiliated with any hospitals?

According to CMS data, Samuel Linares Gavidia is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Linares Gavidia was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.