Individual provider Active NPI

Samantha Chau Lancaster, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1497914691
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2019011690 Issued in MO
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 963-0166
NPI assigned
Jun 3, 2008
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 2019011690 MO
Neuroradiology Physician 2085N0700X MD60365987 WA
Neuroradiology Physician 2085N0700X M-12440 ID
Neuroradiology Physician 2085N0700X 01082089A IN
Neuroradiology Physician 2085N0700X S-7764 AK
Diagnostic Radiology Physician 2085R0202X 2019011690 MO Primary
Diagnostic Radiology Physician 2085R0202X S-7764 AK
Diagnostic Radiology Physician 2085R0202X MD60365987 WA
Diagnostic Radiology Physician 2085R0202X M-12440 ID
Diagnostic Radiology Physician 2085R0202X 01082089A IN
Diagnostic Radiology Physician 2085R0202X 4301090766 MI

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

Other practice location 2

4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 353-5053

Other practice location 3

4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053

Other practice location 4

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 5

3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930

Other identifiers 6

IdentifierTypeStateIssuer
315284OtherWALNI PROVIDER ID
1613173MedicaidAK
315300OtherWALNI PROVIDER ID
1497914691MedicaidID
2030507MedicaidWA
315283OtherWALNI PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, AZ, IN, OH, MO, CA, MI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20130923000743 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 0648414193 Reassigns benefits to 11 organizations
I20140904001352 ID Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 1 organization
I20210429001238 AZ Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 1 organization
I20210816001087 IN Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 1 organization
I20211111002368 OH Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 1 organization
I20220119002450 MO Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 1 organization
I20241002004195 CA Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 5 organizations
I20250220000932 MI Practitioner - Diagnostic Radiology 0648414193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

3541 NW Endicott St
Camas, WA 98607-8233
Phone (323) 549-3030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-12440IDMDNeuroradiology Physician
01082089AINMDNeuroradiology Physician
2019011690MOMDNeuroradiology Physician
S-7764AKMDDiagnostic Radiology Physician
4301090766MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging of South Bay, Inc. Diagnostic Radiology CurrentSince Jan 9, 2024 Accepting new patients
Tower Imaging Medical Associates, Inc. Neuroradiology CurrentSince Oct 1, 2022 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 28, 2021 Accepting new patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 25, 2024 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Apr 13, 2025 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jul 16, 2014 Accepting new patients
Msu Health Care Inc. Neuroradiology CurrentSince Mar 1, 2025 Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince May 2, 2023 Accepting new patients
Indiana University Radiology Associates, Inc. Neuroradiology CurrentSince Oct 1, 2021 Accepting new patients
University of California San Francisco CurrentSince Sep 25, 2024 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Professional Imaging Medical Group Neuroradiology CurrentSince Oct 1, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 25, 2024 Accepting new patients
County of Santa Clara Family Medicine CurrentSince Sep 19, 2024 Accepting new patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
University of California San Francisco CurrentSince Sep 25, 2024 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Wenatchee Valley Hospital CurrentSince Nov 20, 2013 Accepting new patients
Msu Health Care Inc. CurrentSince Mar 1, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
Msu Health Care Inc Current Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jul 11, 2013 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Apr 13, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Okanogan County Public Hospital Dist No 4 Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
Wenatchee Valley Hospital Past Accepting new patients
Wenatchee Valley Hospital Past Accepting new patients
Central Washington Health Services Association Past Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients

Locations (25 of 77)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1625 N Campbell Ave
Tucson, AZ 85719

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

5924 Reliable Pkwy
Chicago, IL 60686

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

2020 Meridian St
Ste 150
Anderson, IN 46016
Phone (765) 646-8663

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

Organizations & group practices 38

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.

View all 38

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1497914691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-963-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041016",
            "country_code": "US",
            "telephone_number": "314-617-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236805",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19020 33rd Ave W Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364748",
            "country_code": "US",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Discovery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108609",
            "country_code": "US",
            "telephone_number": "517-975-8930",
            "fax_number": "517-337-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "SAMANTHA",
        "middle_name": "CHAU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2019011690",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD60365987",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ID",
            "license": "M-12440",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IN",
            "license": "01082089A",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AK",
            "license": "S-7764",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2019011690",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "S-7764",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60365987",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12440",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01082089A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301090766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER ID",
            "identifier": "315284",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613173",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER ID",
            "identifier": "315300",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497914691",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030507",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER ID",
            "identifier": "315283",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.