Individual provider Active NPI

Sameer A Ansari, MD, PHD

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
National Provider Identifier
1932214152
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036107893 Issued in IL
Practice address
259 E Erie St Ste 1950
Chicago, IL 60611-3907
Phone
(312) 926-3185
NPI assigned
Aug 20, 2006
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 036107893 IL
Diagnostic Radiology Physician 2085R0202X 036107893 IL
Vascular & Interventional Radiology Physician 2085R0204X 036107893 IL Primary

Addresses

Primary practice location

259 E Erie St Ste 1950
Chicago, IL 60611-3907

Mailing address

259 E Erie St Ste 1950
Chicago, IL 60611-3907
Phone (312) 926-3185

Other practice location 1

120 Spalding Dr
Naperville, IL 60540-6508
Phone (215) 740-0191

Other practice location 2

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 695-5753

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address toni.caldarazzo@eehealth.org Direct
Direct Messaging Address sansari15435@direct.edward.org Direct

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
I20081029000429 IL Practitioner - Interventional RadiologyPractitioner - NeurologyPractitioner - Diagnostic Radiology 0042216640 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology, Neurology, Pediatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

120 Spalding Dr
Suite 205And207
Naperville, IL 60540-6508
Phone (630) 646-6020

250 E Superior
2304 Nwmff Prent WMN Hosp
Chicago, IL 60611-2914
Phone (312) 472-3660

250 E Superior St
Chicago, IL 60611-2914

251 E Huron
Chicago, IL 60611-2908

251 E Huron St
Chicago, IL 60611-2908

2650 Ridge Ave
Evanston, IL 60201-1700

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Nov 3, 2009 Accepting new patients
The University of Chicago Medical Center CurrentSince Nov 3, 2009 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 27, 2023 Accepting new patients
Edward Health Ventures CurrentSince Oct 24, 2010 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Sep 1, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2013 Accepting new patients
University of Chicago CurrentSince Jul 24, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 27, 2023 Accepting new patients
University of Chicago CurrentSince Oct 1, 2008 Accepting new patients
Edward Health Ventures CurrentSince Oct 24, 2010 Accepting new patients

Locations

880 W Central Rd
Ste 4100
Arlington Heights, IL 60005
Phone (847) 618-4400

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Dept 5777
Carol Stream, IL 60122

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

259 E Erie St
Ste 1950
Chicago, IL 60611
Phone (312) 926-3185

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700

676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

Interoperability endpoints

  • Direct secure messaging: sansari132020@uchospital.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1932214152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1950",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113907",
            "telephone_number": "312-926-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1950",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113907",
            "telephone_number": "312-926-3185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Spalding Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406508",
            "country_code": "US",
            "telephone_number": "215-740-0191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 N Saint Clair St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112978",
            "country_code": "US",
            "telephone_number": "312-695-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SAMEER",
        "middle_name": "A",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036107893",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036107893",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036107893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toni.caldarazzo@eehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Spalding Dr",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sansari15435@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Spalding Dr",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.