NPIMap

Individual provider Active NPI

Ahmad Kassem El-Samad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Merrillville, IN
National Provider Identifier
1174559876
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001024A Issued in IN
Practice address
9239 Broadway
Merrillville, IN 46410-7046
Phone
(219) 736-1010
Fax
(219) 736-1090
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001024A IN
Public Medicine Podiatrist 213EP0504X 07001024A IN
Primary Podiatric Medicine Podiatrist 213EP1101X 07001024A IN
Foot Surgery Podiatrist 213ES0131X 07001024A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 07001024A IN Primary

Addresses

Primary practice location

9239 Broadway
Merrillville, IN 46410-7046

Mailing address

9120 Doubletree Dr S
Crown Point, IN 46307-7655
Phone (219) 736-1010

Other identifiers 5

IdentifierTypeStateIssuer
07001024AOtherINMEDICAL LICENSE
07001024BOtherININDIANA CSR
6157100001OtherINDMERC
016-005273OtherILMEDICAL LICENSE
200-824830MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000096 IN Practitioner - Podiatry 2466458252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

7860 Burr St
Schererville, IN 46375-3402
Phone (219) 644-3966

9134 Columbia Ave
Suite B
Munster, IN 46321-2937
Phone (219) 736-1010

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Merit-based Incentive Payment System (MIPS)

Final score
70.69 of 100Reported as individual
Quality
21.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue347
Removal of skin lesions1-10
Removal of nail tissue924
Removal or shaving of skin growth354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001024AINMDPublic Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Oct 25, 2023 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Orland Podiatry Center, LLC Podiatrist Past Accepting new patients
Beverly Podiatry Center, LLC Podiatrist Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

7860 Burr St
Schererville, IN 46375
Phone (219) 738-5930

Interoperability endpoints

  • Direct secure messaging: aelsamad432538@direct.franciscanalliance.org
  • Direct secure messaging: aelsamad3611@themethodisthospitals.direct-ci.com

Organizations & group practices 6

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 7

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1174559876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 DOUBLETREE DR S",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077655",
            "telephone_number": "219-736-1010",
            "fax_number": "219-736-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107046",
            "telephone_number": "219-736-1010",
            "fax_number": "219-736-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SAMAD",
        "first_name": "AHMAD",
        "middle_name": "KASSEM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001024A",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "IN",
            "license": "07001024A",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001024A",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07001024A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001024A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "07001024A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA CSR",
            "identifier": "07001024B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6157100001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "016-005273",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200-824830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.