NPIMap

Individual provider Active NPI

Adel Samad, M.D.

  • Nephrology Physician
  • Orland Park, IL
National Provider Identifier
1033427794
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036134460 Issued in IL
Practice address
14640 John Humphrey Dr Ste 201
Orland Park, IL 60462-5852
Phone
(708) 251-4193
Fax
(708) 251-4193
NPI assigned
Sep 15, 2010
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036134460 IL Primary

Addresses

Primary practice location

14640 John Humphrey Dr Ste 201
Orland Park, IL 60462-5852

Mailing address

1426 Darien Club Dr
Darien, IL 60561-3669
Phone (773) 603-7386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612000077 IL Practitioner - NephrologyPractitioner - Internal Medicine 4688898729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Associates LTDGroup PAC ID 3577595545, 6 clinicians

Practice addresses (Care Compare)

3913 W 95TH St
Evergreen Park, IL 60805-1903
Phone (708) 570-4461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.6 of 100Reported as individual
Quality
63.67
Improvement activities
0
Cost
70.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Associates LTD Nephrology CurrentSince Jun 1, 2014 Accepting new patients

Locations

8058 S Western Ave
Chicago, IL 60620
Phone (773) 778-1950

3913 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-1444

14640 John Humphrey Dr
Ste 201
Orland Park, IL 60462
Phone (708) 251-4193

Interoperability endpoints

  • Direct secure messaging: mabdessamadmd237184@uchospital.direct-ci.com

Organizations & group practices 1

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

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1033427794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 DARIEN CLUB DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613669",
            "telephone_number": "773-603-7386",
            "fax_number": "708-251-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 JOHN HUMPHREY DR STE 201",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625852",
            "telephone_number": "708-251-4193",
            "fax_number": "708-251-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036134460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.