Individual provider Active NPI

Bharat Samy, M.D.

  • Interventional Cardiology Physician
  • Elk Grove Village, IL
National Provider Identifier
1740480383
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036-125296 Issued in IL
Practice address
800 Biesterfield Rd Ste G01
Elk Grove Village, IL 60007-3372
Phone
(847) 981-3680
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-125296 IL
Cardiovascular Disease Physician 207RC0000X 036-125296 IL
Interventional Cardiology Physician 207RI0011X 036-125296 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste G01
Elk Grove Village, IL 60007-3372

Mailing address

800 Biesterfield Rd Ste G01
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

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
I20150617000239 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4789811381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexian Brothers Specialty GroupGroup PAC ID 0840465084, 45 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

1555 Barrington Rd
Suite 4250
Hoffman Estates, IL 60169-5039
Phone (847) 781-8600

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
72.65
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Leg revascularization (restoring blood flow)44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-125296ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexian Brothers Specialty Group CurrentSince Jul 1, 2015 Accepting new patients

Locations

25883 Network Pl
Chicago, IL 60673

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

1555 N Barrington Rd
Ste 4250
Hoffman Estates, IL 60169
Phone (847) 781-8600

1710 W Court St
Kankakee, IL 60901
Phone (815) 936-3200

Interoperability endpoints

  • Direct secure messaging: bharat.samy.p1@direct.cmi.nextgenshare.com

Organizations & group practices 1

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 2

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1740480383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE G01",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073372",
            "telephone_number": "847-981-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE G01",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073372",
            "telephone_number": "847-981-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMY",
        "first_name": "BHARAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-125296",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-125296",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-125296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.