Samuel A Chandra, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

036.109888 Issued in IL

Practice address

11133 Dunn Rd
Saint Louis, MO 63136

Phone

(314) 747-3581

Fax

(314) 747-1710

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 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

Critical Care (Intensivists)Also: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America Illinois IntensivistsGroup PAC ID 0345535449, 47 clinicians

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Midwest Emergency Anderson Health IncGroup PAC ID 8022401256, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
• St Josephs Hospital Hospital, Breese, IL, CCN 140145
• Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306
• Pike County Memorial Hospital Hospital, Louisiana, MO, CCN 261333
• St Joseph'S Hospital Hospital, Highland, IL, CCN 141336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.chandra@dekalbep.gadirect.net

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.

• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Elgin, IL
  • NPI 1821641499

  Critical Care Medicine, IL

  Medicare reassignment Care Compare group NPD
• Midwest Emergency Anderson Health, Inc

  • Emergency Medicine Physician
  • Staunton, IL
  • NPI 1710647615

  IL

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  MO

  Medicare reassignment Care Compare group NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110

  IL

  Medicare reassignment Care Compare group
• Midwest Inpatient Anderson Health, Inc

  • Emergency Medicine Physician
  • Maryville, IL
  • NPI 1821758608

  IL

  Medicare reassignment NPD
• Sanburg Emergency Group, P.C.

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1992337000

  IL

  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  IL, MO

  Medicare reassignment NPD
• St Josephs Hospital of the Hospital Sisters of the Third Order of St F

  • Critical Access Hospital
  • Highland, IL
  • NPI 1447352323

  IL

  Medicare reassignment
• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Kankakee, IL
  • NPI 1174320873

  Critical Care Medicine

  NPD
• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • O Fallon, IL
  • NPI 1992204184

  Critical Care Medicine

  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Greenville, IL
  • NPI 1225537137
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD

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

• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218

  Hospital

  Care Compare affiliation
• Community Hospital of Staunton

  • Critical Access Hospital
  • Staunton, IL
  • NPI 1750308631

  Hospital

  Care Compare affiliation
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • O Fallon, IL
  • NPI 1629057302

  Hospital

  Care Compare affiliation
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  • Rural Health Clinic/Center
  • Breese, IL
  • NPI 1013002658

  Hospital

  Care Compare affiliation
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  • General Acute Care Hospital
  • Breese, IL
  • NPI 1457319154

  Hospital

  Care Compare affiliation
• St Josephs Hospital of the Hospital Sisters of the Third Order of St F

  • Critical Access Hospital
  • Highland, IL
  • NPI 1447352323

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1124010772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8054",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-747-3581",
            "fax_number": "314-747-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-747-3581",
            "fax_number": "314-747-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "114178",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036.109888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Chandler, LPC
• Patricia Chandler, MSN,RNC,WHNP
• Sarah Marie Chandler, AU.D.
• Shilouh Chandler, LMT
• Arun Sunil Chandnani, MD
• Tattamangalam Chandrika, M.D.
• Rhea Naresh Chandwani, M.B., B.S.
• Laura Marie Chaney, M.A., CCC-SLP
• Lemichael Chaney
• Monica Chang-Panesso, MD

• Critical Care Medicine (Internal Medicine) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Critical Care Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.