Active NPI
Albert D Sam II, MD
- Vascular Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036.096155
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (312) 355-4300
- NPI assigned
- Nov 2, 2005
- Last updated
- Oct 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036.096155 | IL | Primary |
Addresses
Primary practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
840 S. Wood Street 376-CSN
(M/C 958)
Chicago, IL 60612
Phone (312) 996-8459
Other practice location 1
1801 W Taylor St # 3F
Chicago, IL 60612-4795
Phone (312) 355-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1162604 | Medicaid | LA |
Other names 1
- Albert Devon Sam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Duke University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 N Beauregard St
Alexandria, VA 22311-1732
Phone (571) 472-0080
2501 Parkers LN
Alexandria, VA 22306-3209
3300 Gallows Rd
Falls Church, VA 22042-3307
3580 Joseph Siewick Dr
Fairfax, VA 22033-1764
4320 Seminary Rd
Alexandria, VA 22304-1535
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
8081 Innovation Park Dr
Fairfax, VA 22031-4867
8140 Ashton Ave
Manassas, VA 20109-5700
Phone (703) 280-5858
Hospital & facility affiliations
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
- Inova Fairfax Hospital
- Inova Rehab Center@Inova Mount Vernon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 15 |
| Leg revascularization (restoring blood flow) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15157R | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Vascular Medicine LLC | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Center for Vascular Medicine NJ, LLC | Single Specialty | Past | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Single Specialty | Past | Accepting new patients |
Locations
7300 Hanover Dr
Ste 104
Greenbelt, MD 20770
Phone (301) 982-2000
7500 Greenway Center Dr
Ste 201
Greenbelt, MD 20770
1600 N Beauregard St
Ste 150
Alexandria, VA 22311
Phone (571) 472-0080
1800 N Beauregard St
Ste 50
Alexandria, VA 22311
Phone (703) 205-7330
8316 Arlington Blvd
Ste 515
Fairfax, VA 22031
Phone 3019822000999
2921 Telestar Ct
Ste 140
Falls Church, VA 22042
Phone (703) 280-1473
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
501 Park Hill Dr
Ste 104
Fredericksburg, VA 22401
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
8140 Ashton Ave
Ste 125
Manassas, VA 20109
Phone (571) 665-6550
8200 Greensboro Dr
Ste 210
McLean, VA 22102
Phone (703) 506-8346
14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 205-7330
Interoperability endpoints
- asam682568@soc.inova.org
- edson.pineda.p4@direct.cvm-usa.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Single Specialty
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
Single Specialty
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Single Specialty
-
- Vascular Surgery Physician
- Chester, NJ
- NPI 1144761685
Single Specialty
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Mount Vernon Hospital
- Rehabilitation Hospital Unit
- Alexandria, VA
- NPI 1013048990
Inpatient rehabilitation facility
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1396736971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S. WOOD STREET 376-CSN",
"address_2": "(M/C 958)",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-8459",
"fax_number": "312-355-3722"
},
{
"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": "312-355-4300"
}
],
"practiceLocations": [
{
"address_1": "1801 W Taylor St # 3F",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124795",
"country_code": "US",
"telephone_number": "312-355-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAM",
"first_name": "ALBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036.096155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1162604",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALBERT",
"last_name": "SAM",
"middle_name": "DEVON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.