Active NPI
Samuel Philleo, MD
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
National Provider Identifier
1881406742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 340 W 10TH St Ste 6200
Indianapolis, IN 46202-3082 - Phone
- (317) 274-8157
- NPI assigned
- Jan 27, 2025
- Last updated
- Jan 30, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | Primary |
Addresses
Primary practice location
340 W 10TH St Ste 6200
Indianapolis, IN 46202-3082
Mailing address
340 W 10TH St Ste 6200
Indianapolis, IN 46202-3082
Phone (317) 274-8157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1881406742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 10TH ST STE 6200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023082",
"telephone_number": "317-274-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 W 10TH ST STE 6200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023082",
"telephone_number": "317-274-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLEO",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Keely R Phelps, PA-C
- PHG Ultraryde, LLC
- Phi, Inc (PHI Air Medical)
- Philanthropic Homecare LLC
- Philip Zaneteas, PHD, MD, Inc., PC (Philip D. Zaneteas, PhD. MD, Inc.)
- Michaela Phillippi, RN
- Russell John Phillippo, C.O.T.A.
- Aaron Thomas Phillips
- Alison Nicole Phillips, PHARM D.
- Andrea Faith Phillips, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.