SAMANTHA KLOSAK PA - NPI 1932709706 - Physician Assistant in Downers Grove, IL

Q: What is Samantha Klosak's NPI number?

The NPI number for Samantha Klosak is 1932709706. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is Samantha Klosak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Klosak was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Samantha Klosak Pa NPPES

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

SAMANTHA KLOSAK PA (NPI 1932709706) is an individual surgical provider in Downers Grove, Illinois, licensed in Illinois (085-008117) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Frankfort.

NPPES Registry Identity

NPI1932709706

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSAMANTHA KLOSAKCredential: PA

Location Address2801 FINLEY RD STE 220Downers Grove, IL 60515-1039

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(630) 261-9393

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 29, 2020

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1932709706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085-008117

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085008117 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2801 FINLEY RD STE 220, Downers Grove, IL 60515

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Secondary Practice Location 1

Location 18144 Old Mill RdFrankfort, IL 60423-8675 · Phone (815) 666-6774

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

Samantha Klosak Pa 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 ID5991196289

PECOS Enrollment IDI20211221001154

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 2

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

101 services99 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

JESSICA A LEON APN

Nurse Practitioner