Individual provider Active NPI

Sammy T Dean, MD

  • Anesthesiology Physician
  • Harvard, IL
National Provider Identifier
1871827147
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
75855 Issued in CT
Practice address
901 Grant St
Harvard, IL 60033-1821
Phone
(815) 943-8090
Fax
(815) 943-2188
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 54353-020 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 036123329 IL
Anesthesiology Physician 207L00000X 036123329 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X Q2657 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X 68136 AZ
Anesthesiology Physician 207L00000X 75855 CT Primary

Addresses

Primary practice location

901 Grant St
Harvard, IL 60033-1821

Mailing address

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-8090

Other identifiers 1

IdentifierTypeStateIssuer
1871827147MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150317001461 TX Practitioner - Anesthesiology 4284779331 Reassigns benefits to 5 organizations
I20161012000211 NY Practitioner - Anesthesiology 4284779331
I20241231002107 CT Practitioner - Anesthesiology 4284779331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (972) 422-5941

Hospital & facility affiliations

  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Merit-based Incentive Payment System (MIPS)

Final score
74.75 of 100Reported as group
Quality
67.52
Promoting interoperability
95
Improvement activities
20
Cost
74.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75855CTMDAnesthesiology Physician
54353-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Oct 25, 2022 Accepting new patients
Metropolitan Anesthesia Consultants, LLP Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Anesthesiology CurrentSince Nov 25, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
NTX Anesthesiology Consultants PLLC Anesthesiology CurrentSince Apr 2, 2018 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Oct 15, 2016 Accepting new patients
Anesthesia Partners of Dallas PLLC Anesthesiology CurrentSince Nov 1, 2017 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Sahag LLC Anesthesiology Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Organizations & group practices 9

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 4

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": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1871827147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRANT ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600331821",
            "telephone_number": "815-943-8090",
            "fax_number": "815-943-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRANT ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600331821",
            "telephone_number": "815-943-8090",
            "fax_number": "815-943-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "SAMMY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "54353-020",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036123329",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036123329",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q2657",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "68136",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "75855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871827147",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvard, IL

Sources for this page

Verify at the official NPI Registry.