Individual provider Active NPI

Samer Hassan Kais, M.D., M.S., B.S.

  • Surgery Physician
  • Midland, MI
National Provider Identifier
1851501613
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301086501 Issued in MI
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

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skais617836@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110815000879 MI Practitioner - General Surgery 2567631278 Reassigns benefits to 3 organizations
I20251125002776 IL Practitioner - General Surgery 2567631278 Reassigns benefits to 1 organization

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
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

LicenseStateTypeSpecialty
036177862ILMDSurgery Physician
4301086501MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Affiliates of California Surgery CurrentSince Feb 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 13, 2025 Accepting new patients
Saginaw Cooperative Hospitals, Inc Surgery CurrentSince Aug 26, 2013 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 CurrentSince Feb 1, 2025 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 26, 2013 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.

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": "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

Verify at the official NPI Registry.