Active NPI
Samarendra Chandel, MD
- Cardiovascular Disease Physician
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-097117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100267943 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Advocate Condell Medical Center
- Froedtert South Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.76 of 100
- Quality
- 61.21
- Improvement activities
- 40
- Cost
- 84.02
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-097117 | IL | MD | Cardiovascular Disease Physician |
| 86224 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Cardiac Imaging Inc | Current | Accepting new patients | |
| Thomas and Thomas Medical LTD | Current | 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
- 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.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Specialist
- Gurnee, IL
- NPI 1427090125
-
- Mobile Radiology Clinic/Center
- Oak Brook Terrace, IL
- NPI 1770830606
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.