Elena Samoilova, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

39669 Issued in KY

Practice address

Uk Department of Pathology 800 Rose St
Ms147
Lexington, KY 40536-0298

Phone

(859) 323-6183

Fax

(859) 323-2094

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Pathology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Associates of Central Illinois LTDGroup PAC ID 6103813449, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Springfield, IL, CCN 140148
• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
• Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059
• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347
• Abraham Lincoln Memorial Hospital Hospital, Lincoln, IL, CCN 141322

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathology Associates of Central Illinois LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
  • NPI 1548363138
  Medicare reassignment Care Compare group NPD
• Pathology Associates of Central Illi

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, IL
  • NPI 1447402391
  NPD

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

• Abraham Lincoln Memorial Hospital

  • Critical Access Hospital
  • Lincoln, IL
  • NPI 1154329753
  Care Compare affiliation
• Carlinville Area Hospital Association

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Care Compare affiliation
• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation
• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  Care Compare affiliation
• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590
  Care Compare affiliation

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215132550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 SAVANNAH LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131812",
            "telephone_number": "859-219-3167",
            "fax_number": "859-323-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UK DEPARTMENT OF PATHOLOGY 800 ROSE ST",
            "address_2": "MS147",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-6183",
            "fax_number": "859-323-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOILOVA",
        "first_name": "ELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "39669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan Reliant Geriatric Services, LLC
• Luis Mario Samayoa, MD
• Chelsea Renee Sames, BA, RBT
• Justin Sammons, PA-C
• Phillip Anthony Sammons
• Kerrigan Maria Samons, MD
• Abdul Aziz Yasin Samoud
• Rajan Sampat
• Jeff C Sample
• Sams East Inc

• Anatomic Pathology & Clinical Pathology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.