Individual provider Active NPI

Shradha Samuel, M.D.

  • Vascular Surgery Physician
  • Lincoln, NE
National Provider Identifier
1922528207
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35C.003152 Issued in OH
Practice address
1500 S 48TH St Ste 400
Lincoln, NE 68506-1278
Phone
(402) 483-3333
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35C.003152 OH Primary

Addresses

Primary practice location

1500 S 48TH St Ste 400
Lincoln, NE 68506-1278

Mailing address

PO Box 860879
Minneapolis, MN 55486-0879
Phone (402) 483-3333

Other practice location 1

1800 Zollinger Rd Fl 2
Columbus, OH 43221-2800
Phone (614) 293-8536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241025000677 NE Practitioner - Vascular Surgery 0143594317 Reassigns benefits to 1 organization
I20251111001032 OH Practitioner - Vascular Surgery 0143594317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1900 S Main St
CDS Room 3349
Findlay, OH 45840-1214
Phone (833) 204-3278

Hospital & facility affiliations

  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
67.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8032NEMDDentist
35C.003152OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Jan 1, 2026 Accepting new patients
Osu Surgery, LLC CurrentSince Dec 1, 2025 Accepting new patients
Integrated Cardiology Group LLC Vascular Surgery CurrentSince Oct 7, 2024 Accepting new patients

Locations

1500 S 48th St
Ste 400
Lincoln, NE 68506
Phone (402) 481-8500

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

1800 Zollinger Rd
Fl 2
Columbus, OH 43221

1721 Medical Blvd
Ste A
Findlay, OH 45840
Phone (419) 424-2020

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1900 S Main St
Rm 3349
Findlay, OH 45840
Phone (419) 423-3188

1800 Zollinger Rd
Upper Arlington, OH 43221
Phone (614) 293-2130

Organizations & group practices 3

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1922528207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860879",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860879",
            "telephone_number": "402-483-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061278",
            "telephone_number": "402-483-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Zollinger Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432212800",
            "country_code": "US",
            "telephone_number": "614-293-8536",
            "fax_number": "614-293-8902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "SHRADHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35C.003152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.