Individual provider Active NPI

Samantha Hay, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1083107551
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036166240 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(312) 996-7298
Fax
(312) 413-0289
NPI assigned
Jun 10, 2018
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036166240 IL Primary
Emergency Medicine Physician 207P00000X 287388 MA

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

10 Vining St
Boston, MA 02115-6114
Phone (617) 525-8283

Other practice location 1

10 Vining St
Boston, MA 02115-6114
Phone (617) 525-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20220602000637 MA Practitioner - Emergency Medicine 7416208178 Reassigns benefits to 3 organizations
I20240416003356 IL Practitioner - Emergency Medicine 7416208178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1740 W Taylor St
Mc931
Chicago, IL 60612-7232
Phone (312) 355-5258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287388MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince Feb 18, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 4, 2024 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Martha's Vineyard Hospital, Inc. Emergency Medicine Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Emergency Medicine CurrentSince Mar 17, 2023 Accepting new patients
Board of Trustees of the University of Illinois Emergency Medicine CurrentSince Mar 4, 2024 Accepting new patients

Locations

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

75 Francis St
Boston, MA 02115

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: shay152495@uihealth.direct-ci.com

Organizations & group practices 8

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 1

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": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1083107551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VINING ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156114",
            "telephone_number": "617-525-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-7298",
            "fax_number": "312-413-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Vining St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156114",
            "country_code": "US",
            "telephone_number": "617-525-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAY",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036166240",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "287388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.