Praveen Kumar Sampath, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036164435 Issued in IL

Practice address

2160 S 1St Ave
Maywood, IL 60153-3328

Phone

(708) 216-9000

NPI assigned

Jan 11, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, TX, AZ, IL, WV, OK6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Gastroenterology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
• HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
• Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
• St Francis Hospital Hospital, Memphis, TN, CCN 440183
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: psampath83500@sih.direct-ci.com
• Direct secure messaging: psampath652210@direct.parkviewexchange.com
• Direct secure messaging: psampath67723@mlh.direct-ci.com
• Direct secure messaging: praveen.sampath.4@8363.direct.athenahealth.com
• Direct secure messaging: psampath75829@nchhealthcaresystem.direct-ci.com
• Direct secure messaging: praveen.sampath.1@8042.direct.athenahealth.com
• Direct secure messaging: praveensampath@hmc.allscriptsdirect.net
• Direct secure messaging: psampath144042@direct.whhs.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HSHS Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1962644807
  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment Care Compare group
• Methodist Medical Center of Illinois

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1982656575
  Medicare reassignment NPD
• Southern Illinois Medical Services, NFP

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837
  Medicare reassignment NPD
• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322

  Family Medicine

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  Family Medicine

  Medicare reassignment NPD
• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment NPD
• Seema a Dar, MD PA

  • Gastroenterology Physician
  • San Antonio, TX
  • NPI 1942390901
  Medicare reassignment NPD
• THS Physician Partners Inc

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1871866806
  Medicare reassignment
• HSHS Medical Group Inc

  • Rural Health Clinic/Center
  • Dieterich, IL
  • NPI 1033841192
  NPD
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • O Fallon, IL
  • NPI 1629057302
  Care Compare affiliation
• Amisub (SFH), Inc.

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1952326977
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1578780870
  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • Mammography Clinic/Center
  • Oklahoma City, OK
  • NPI 1336155779

  Hospital

  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • Rehabilitation Hospital Unit
  • Oklahoma City, OK
  • NPI 1336252717
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1457372625
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1023348299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PERCHERON BND",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137881",
            "telephone_number": "716-907-1096",
            "fax_number": "512-324-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Ainsworth Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011612",
            "country_code": "US",
            "telephone_number": "928-771-5548",
            "fax_number": "928-771-5549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483789",
            "country_code": "US",
            "telephone_number": "618-993-0056",
            "fax_number": "618-993-0752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "PRAVEEN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME117230",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "55431",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "Q2845",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036164435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3463192-02",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psampath83500@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "404 Lincoln Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caryl Salomon, MD
• Andrew Salter, RN
• Shanika P. Samarasinghe, M.D.
• Nausheen Samee, MD
• Leilani Sampang, MD
• Manpreet Kaur Samra, MD
• Nataly Linda Sanchez
• Veronica Sanchez
• Jasmin Sandhu, M.D.
• Kabier Sandhu

• Gastroenterology Physician in Maywood, IL
• Providers in Maywood, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.