Individual provider Active NPI

Samer Abou Dola, M.D.

  • Hematology (Pathology) Physician
  • Milwaukee, WI
National Provider Identifier
1467494161
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
Practice address
8901 W Lincoln Ave
Great Lakes Pathologist, S.C.
Milwaukee, WI 53227-2409
Phone
(414) 649-6831
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X IL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X IL

Addresses

Primary practice location

8901 W Lincoln Ave
Great Lakes Pathologist, S.C.
Milwaukee, WI 53227-2409

Mailing address

1300 N Prospect Ave
Apt. 411
Milwaukee, WI 53202-3022
Phone (216) 255-8969

Other names 1

  • Dr. Samer Aboudola Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081030000669 IL Practitioner - Pathology 1153327259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Laboratory Physicians SCGroup PAC ID 3173572054, 6 clinicians
Comprehensive Pathology Services SCGroup PAC ID 6002054954, 7 clinicians
Pinnacle Gastroenterology SCGroup PAC ID 0840677043, 2 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 915-3786

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (630) 581-6503

3 N Main St
Manteno, IL 60950-1534
Phone (833) 368-8688

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-109997ILMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Gastroenterology SC CurrentSince Jun 15, 2022 Accepting new patients
Silver Cross Hospital & Medical Centers Current Accepting new patients
Associated Laboratory Physicians SC Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2008 Accepting new patients
Scottlab, LTD. Anatomic Pathology & Clinical Pathology PastSince Sep 2, 2018 Accepting new patients

Locations

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

3 N Main St
Manteno, IL 60950
Phone (833) 368-8688

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

Interoperability endpoints

  • Direct secure messaging: sdola191288@uchospital.direct-ci.com

Organizations & group practices 5

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 5

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467494161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N PROSPECT AVE",
            "address_2": "APT. 411",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023022",
            "telephone_number": "216-255-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W LINCOLN AVE",
            "address_2": "GREAT LAKES PATHOLOGIST, S.C.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272409",
            "telephone_number": "414-649-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLA",
        "first_name": "SAMER",
        "middle_name": "ABOU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMER",
            "last_name": "ABOUDOLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.