Active NPI
Samer Hassan Kais, M.D., M.S., B.S.
- Surgery Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301086501
- Practice address
- 4100 Campus Ridge Dr
Midland, MI 48640-6139 - Phone
- (899) 839-1795
- Fax
- (989) 839-1785
- NPI assigned
- May 23, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036177862 | IL | |
| Surgical Critical Care Physician | 2086S0102X | 036177862 | IL | |
| Surgery Physician | 208600000X | 4301086501 | MI | Primary |
Addresses
Primary practice location
4100 Campus Ridge Dr
Midland, MI 48640-6139
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863
Other practice location 1
1001 Main St Ste 400
Peoria, IL 61606-2036
Phone (309) 691-4005
Other names 1
- Dr. Sam H. Kais
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skais617836@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036177862 | IL | MD | Surgery Physician |
| 4301086501 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Affiliates of California | Surgery | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Surgery | Current | Accepting new patients |
| Saginaw Cooperative Hospitals, Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Saginaw Cooperative Hospital Inc | Current | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
1001 Main St
Ste 400
Peoria, IL 61606
Phone (309) 308-0920
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
3190 Northridge Rd
Hale, MI 48739
Phone (989) 728-4211
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865
50 N Perry St
#2S
Pontiac, MI 48342
Phone (248) 338-5865
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800
912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1346344991
-
- Hospitalist Physician
- Saginaw, MI
- NPI 1548877434
-
- Surgery Physician
- Saginaw, MI
- NPI 1467557819
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1851501613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1863",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 CAMPUS RIDGE DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406139",
"telephone_number": "899-839-1795",
"fax_number": "989-839-1785"
}
],
"practiceLocations": [
{
"address_1": "1001 Main St Ste 400",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616062036",
"country_code": "US",
"telephone_number": "309-691-4005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAIS",
"first_name": "SAMER",
"middle_name": "HASSAN",
"name_prefix": "Dr.",
"credential": "M.D., M.S., B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036177862",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036177862",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301086501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skais617836@direct.beaumont.edu",
"affiliation": "N",
"address_1": "18181 Oakwood Blvd Ste 212",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481245031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAM",
"last_name": "KAIS",
"middle_name": "H.",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.