Active NPI
Samran Haider, M.D.
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301104877
- 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, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036153269 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Insight Hospital and Medical Center Chicago
- Palos Community Hospital
- Sanford Bemidji Medical Center
- Sanford Medical Center Fargo
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 74.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104877 | MI | MD | Internal Medicine Physician |
| 79927 | MN | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Critical Care Physicians of Illinois LLC | Critical Care Medicine | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Carolinas Medical Center | Critical Care Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Internal Medicine | Current | Accepting new patients |
| Cook County | Internal Medicine | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Insight Chicago, Inc. | Internal Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | 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
- 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.
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
dba Insight Hospital & Medical Center Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Critical Care Medicine (Internal Medicine) Physician
- Aurora, IL
- NPI 1508134966
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Critical Care Medicine
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
Internal Medicine
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Insight Hospital & Medical Center Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1730166224
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.