Individual provider Active NPI

Samarendra Chandel, MD

  • Cardiovascular Disease Physician
  • Gurnee, IL
National Provider Identifier
1922096056
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-097117 Issued in IL
Practice address
222 S Greenleaf St Ste 109
Gurnee, IL 60031-5705
Phone
(847) 336-1600
Fax
(847) 336-2380
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 86224 WI
Cardiovascular Disease Physician 207RC0000X 036-097117 IL Primary

Addresses

Primary practice location

222 S Greenleaf St Ste 109
Gurnee, IL 60031-5705

Mailing address

222 S Greenleaf St Ste 109
Gurnee, IL 60031-5705
Phone (847) 336-1600

Other practice location 1

10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Phone (847) 336-1600

Other identifiers 1

IdentifierTypeStateIssuer
100267943MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000768 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5395783179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas and Thomas Medical LTDGroup PAC ID 0648218412, 2 clinicians
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Practice addresses (Care Compare)

222 S Greenleaf St
Suite 109
Gurnee, IL 60031-5705
Phone (847) 336-1600

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

801 S Milwaukee Ave
Condell Medical Center
Libertyville, IL 60048-3204
Phone (847) 362-2900

Hospital & facility affiliations

  • Midwestern Region Med Center, Inc Hospital, Zion, IL, CCN 140100
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
61.21
Improvement activities
40
Cost
84.02

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097117ILMDCardiovascular Disease Physician
86224WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince Feb 1, 2016 Accepting new patients
Cardiac Imaging Inc CurrentSince Apr 1, 2025 Accepting new patients
Thomas and Thomas Medical LTD CurrentSince Oct 28, 2008 Accepting new patients
Froedtert South, Inc. Past Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

3915 W Oglesby Ave
Gurnee, IL 60031
Phone (772) 404-7642

3915 W Oglesby Ave
Ste 1
Gurnee, IL 60031
Phone (847) 336-1600

222 S Greenleaf St
Ste 109
Gurnee, IL 60031
Phone (847) 249-0167

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Interoperability endpoints

  • Direct secure messaging: schandel144527@cityofhope.direct-ci.com

Organizations & group practices 4

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 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1922096056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 109",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-336-1600",
            "fax_number": "847-336-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 109",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-336-1600",
            "fax_number": "847-336-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10256 Old Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531582814",
            "country_code": "US",
            "telephone_number": "847-336-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDEL",
        "first_name": "SAMARENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "86224",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-097117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267943",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.