Individual provider Active NPI

Samuel J Chmell

  • Orthopaedic Surgery Physician
  • Maywood, IL
National Provider Identifier
1679585020
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-057627 Issued in IL
Practice address
1701 S 1St Ave Ste 209
Maywood, IL 60153-2400
Phone
(708) 345-8814
Fax
(708) 345-8815
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-057627 IL Primary

Addresses

Primary practice location

1701 S 1St Ave Ste 209
Maywood, IL 60153-2400

Mailing address

1801 W Taylor St
MC 743
Chicago, IL 60612-4319
Phone (312) 996-7161

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

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
I20060418000040 IL Practitioner - Orthopedic Surgery 9436168655 Reassigns benefits to 1 organization
Practice locations: Maywood, IL

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 S 1St Ave
Maywood, IL 60153-2400
Phone (708) 345-8814

1801 W Taylor St
2A
Chicago, IL 60612-4795
Phone (312) 355-3060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-057627ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Sep 15, 1999 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Orthopaedic Surgery CurrentSince Sep 15, 1999 Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

1801 W Taylor St
#743
Chicago, IL 60612

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

7732 Solutions Ctr
Chicago, IL 60677

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

901 S Wolcott Ave
Chicago, IL 60612
Phone (312) 996-3470

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1801 W Taylor St
#2A
Chicago, IL 60612
Phone (312) 355-3060

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

Interoperability endpoints

  • Direct secure messaging: schmell16952@uihealth.direct-ci.com

Organizations & group practices 4

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 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1679585020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "address_2": "MC 743",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124319",
            "telephone_number": "312-996-7161",
            "fax_number": "312-996-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 1ST AVE STE 209",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532400",
            "telephone_number": "708-345-8814",
            "fax_number": "708-345-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHMELL",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-057627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.