Samantha R Adamczyk, PA-C
Individual provider Active NPI Physician Assistant · Naperville, IL
NPI 1093016016 · NPPES record last updated May 3, 2024
Key facts
- NPI
- 1093016016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085003922 (IL)
- Practice address
- 1259 Rickert Dr Ste 101
Naperville, IL 60540-8904 - Phone
- (630) 790-1872
- Fax
- (630) 355-3273
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (888) 385-9669
1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
Hospital & facility affiliations
- Edward Hospital
- Uchicago Medicine Adventhealth la Grange
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110225000830 | IL | Practitioner - Physician Assistant | 3779764519 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085003922 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients |
Locations
1259 Rickert Dr
Ste 101
Naperville, IL 60540
Phone (630) 355-1300
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- sadamczyk268143@dulyhealthandcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085003922 | IL | |
| Surgical Physician Assistant | 363AS0400X | 085003922 | IL | |
| Physician Assistant | 363A00000X | 085003922 | IL | Yes |
Addresses
Primary practice location
1259 Rickert Dr Ste 101
Naperville, IL 60540-8904
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
353 E Burlington St
Suite 100
Riverside, IL 60546-2189
Phone (708) 442-0221
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sadamczyk268143@dulyhealthandcare.direct-ci.com | Direct |
Other providers in Naperville, IL
- Active Life Institute
- Active Medical Naperville LTD
- Active Motion Physical Therapy, P.C.
- Activefit360 LLC
- Acuwell LLC
- Megan Julia Adamowski
- Jason Adams
- Jordan K Adams
- Karen Adams
- Kyle Adams
All providers in Naperville, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.