Individual provider Active NPI

Ronald E Sam, D.O.

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1073537643
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
336055662 Issued in IL
Practice address
9900 Southwest Hwy
Oak Lawn, IL 60453-3724
Phone
(708) 422-7758
Fax
(708) 422-8154
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 336055662 IL Primary

Addresses

Primary practice location

9900 Southwest Hwy
Oak Lawn, IL 60453-3724

Mailing address

9900 Southwest Hwy
Oak Lawn, IL 60453-3724
Phone (708) 422-7758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040929000137 IL Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 7618861188 Reassigns benefits to 6 organizations
I20170201000836 IN Practitioner - Emergency MedicinePractitioner - Internal Medicine 7618861188
I20240610001689 FL Practitioner - Internal Medicine 7618861188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6700 W 95TH St
Suite 320
Oak Lawn, IL 60453-2388

9900 Southwest Hwy
Oak Lawn, IL 60453-3724
Phone (708) 422-7758

Hospital & facility affiliations

  • Caress Home Health Care Inc Home health agency, Skokie, IL, CCN 147747
  • Lion'S Heart Home Health Inc Home health agency, Lincolnwood, IL, CCN 148131
  • Frontline Healthcare, LLC Home health agency, Skokie, IL, CCN 148409
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336055662ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince May 4, 2024 Accepting new patients
Home Health Medical LLC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Donte Medical Corporation Internal Medicine CurrentSince Oct 1, 1999 Accepting new patients
Quality Healthcare International PLLC Internal Medicine CurrentSince Feb 22, 2025 Accepting new patients
Memorial Hospital CurrentSince Jan 13, 2018 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jun 30, 2014 Accepting new patients
Imani Community Clinic CurrentSince Apr 20, 2025 Accepting new patients
Memorial Hospital CurrentSince Jan 13, 2018 Accepting new patients
South Haven Behavioral Modification II Inc Past Accepting new patients
4D Care Assist Foundation PastSince May 9, 2021 Accepting new patients

Locations

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1900 State St
Chester, IL 62233
Phone (618) 826-2388

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

4400 W 95th St
Ste 106
Oak Lawn, IL 60453
Phone (708) 422-7758

9900 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 422-7758

6700 W 95th St
Ste 320
Oak Lawn, IL 60453
Phone (708) 422-7758

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

502 W 138th St
Riverdale, IL 60827
Phone (312) 763-6162

Interoperability endpoints

  • Direct secure messaging: ronald.sam.1@19978.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1073537643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533724",
            "telephone_number": "708-422-7758",
            "fax_number": "708-422-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533724",
            "telephone_number": "708-422-7758",
            "fax_number": "708-422-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336055662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.