Prem Kumar Samuel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

29521 Issued in KS

Practice address

5701 W 119TH St
Suite 120
Overland Park, KS 66209-3721

Phone

(913) 906-0833

Fax

(816) 523-5747

NPI assigned

May 26, 2006

Last updated

Jan 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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 2

Specialty

Cardiac SurgeryAlso: Thoracic Surgery

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Lee's Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

Merit-based Incentive Payment System (MIPS)

Final score

82.3 of 100Reported as group

Quality

64.66

Promoting interoperability

99

Improvement activities

40

Cost

71.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• IA HMO C-SNP
• IA HMO

Interoperability endpoints

• Direct secure messaging: prem.samuel@hca2.eclinicaldirectplus.com

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.

• Midwest Heart & Vascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Overland Park, KS
  • NPI 1760736615

  MO

  Medicare reassignment Care Compare group NPD
• Midwest Cardiovascular and Thoracic Surgeons of Kansas, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Overland Park, KS
  • NPI 1023117579
  NPD (past)
• Thoracic and Vascular Surgeons PA

  • Specialist
  • Kansas City, MO
  • NPI 1770552093
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

• Midwest Division-Oprmc LLC

  dba Overland Park Regional Medical Center

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484
  Care Compare affiliation
• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Midwest Division - LSH, LLC

  dba Lee's Summit Medical Center

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1043266380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-906-0833",
            "fax_number": "816-523-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-906-0833",
            "fax_number": "816-523-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "PREM",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "29521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100416510C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100416510B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205761604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam's Club Optical (Sam's Club Optical 30-4707)
• Saman Counseling, LLC.
• Abigail Samojla
• Sams West Inc (Sams Pharmacy 10-4707)
• Samuel R Lehman MD Neurology
• Priya R. Samuel, LMSW
• Vijaya P Samuel, MD
• Angela Samuelson, DC
• Stephen Daryl Samuelson, M.D.
• Thomas S Samuelson, M.D.

• Specialist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.