Marwan Abdul Samad, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01040993A Issued in IN

Practice address

8224 Calumet Ave
Munster, IN 46321-1704

Phone

(219) 836-1855

Fax

(219) 836-0527

NPI assigned

Jul 31, 2006

Last updated

Oct 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Clinic Munster

  • Specialist
  • Munster, IN
  • NPI 1215040969
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445040000000",
    "number": "1881609295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211704",
            "telephone_number": "219-836-1855",
            "fax_number": "219-836-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211704",
            "telephone_number": "219-836-1855",
            "fax_number": "219-836-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "MARWAN",
        "middle_name": "ABDUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01040993A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrique G Saguil, MD
• Mary Sajn, AGACNP-BC
• Aseem Saklecha, MD
• Marina Saldaris, C.R.N.A
• Lucia Salerno
• Samaritan Center on the Ridge
• Samaritan Center on the Ridge (Samaritan Counseling Center)
• Samaritan Counseling Center
• Barnard San Gabriel, M.D.
• Stacy Nicole Sanchez, RN, IBCLC

• Pediatrics Physician in Munster, IN
• Providers in Munster, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.