Active NPI
Sajjaad Samat
- Surgery Physician
- Decatur, IL
National Provider Identifier
1427583913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036179284
- Practice address
- 1 Memorial Dr Ste 300
Decatur, IL 62526-6322 - Phone
- (217) 876-5500
- Fax
- (217) 876-5505
- NPI assigned
- Apr 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036179284 | IL | Primary |
Addresses
Primary practice location
1 Memorial Dr Ste 300
Decatur, IL 62526-6322
Mailing address
1 Memorial Dr Ste 300
Decatur, IL 62526-6322
Phone (217) 876-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816000395 | NC | Order and Referring Only - Thoracic Surgery | 9537607924 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Springfield, IL 62708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1427583913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR STE 300",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266322",
"telephone_number": "217-876-5500",
"fax_number": "217-876-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR STE 300",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266322",
"telephone_number": "217-876-5500",
"fax_number": "217-876-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAT",
"first_name": "SAJJAAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-22",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036179284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.