Individual provider Active NPI

Samran Haider, M.D.

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1982023396
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301104877 Issued in MI
Practice address
4201 Saint Antoine St Ste 2E
Detroit, MI 48201-2153
Phone
(313) 745-4832
NPI assigned
Apr 14, 2014
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 4301104877 MI Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 79927 MN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036153269 IL
Pulmonary Disease Physician 207RP1001X 036153269 IL

Addresses

Primary practice location

4201 Saint Antoine St Ste 2E
Detroit, MI 48201-2153

Mailing address

12251 S 80TH Ave Ste 1630
Palos Heights, IL 60463-1290
Phone (708) 923-3388

Other practice location 1

12251 S 80th Ave
Palos Heights, IL 60463-1256
Phone (708) 923-3388

Other identifiers 1

IdentifierTypeStateIssuer
036153269MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200727003191 IL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1153623392 Reassigns benefits to 4 organizations
I20250917003668 MN Practitioner - Critical Care (Intensivists) 1153623392 Reassigns benefits to 1 organization
I20251129000288 NC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1153623392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-5869

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301104877MIMDInternal Medicine Physician
79927MNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Sep 15, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Mar 1, 2020 Accepting new patients
Cook County Current Accepting new patients
Carolinas Medical Center Critical Care Medicine CurrentSince Nov 24, 2025 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2021 Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Sep 15, 2025 Accepting new patients
Cook County Internal Medicine CurrentSince Oct 12, 2023 Accepting new patients
Cook County CurrentSince Oct 12, 2023 Accepting new patients
Insight Chicago, Inc. Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Nov 24, 2025 Accepting new patients

Locations

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

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

Dept 5777
Carol Stream, IL 60122

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

15300 West Ave
Orland Park, IL 60462
Phone (708) 226-2440

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

12251 S 80th Ave
Ste 1630
Palos Heights, IL 60463
Phone (708) 923-5173

12251 S 80th Ave
Ste 204
Palos Heights, IL 60463
Phone (708) 923-3388

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

Interoperability endpoints

  • Direct secure messaging: shaider60937@direct.et0946.epichosted.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 10

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1982023396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1630",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-3388",
            "fax_number": "708-923-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST STE 2E",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12251 S 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631256",
            "country_code": "US",
            "telephone_number": "708-923-3388",
            "fax_number": "708-923-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "SAMRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301104877",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "79927",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036153269",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036153269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036153269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.