SUSAN SAM – Endocrinology, Diabetes & Metabolism Physician, NPI 1013020759
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
455 ENDOCRINOLOGY in IL
Provider Addresses for SUSAN SAM
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
200, West Adams Street, Financial District, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60606, United States
SUITE 225
CHICAGO, IL 606065212
Phone: (312) 704-2885
Fax: (312) 704-2737
Type: Mailing
University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
DEPT 3462
CHICAGO, IL 606127232
Phone: (312) 704-2885
Fax: (312) 704-2737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Mannkind Corporation ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mannkind Corporation | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061213000401 | I | Endocrinology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 78 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 24 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 24 | 20 | $0 |
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| N E U R O L O G Y | IL | |
| General Surgery | IN | |
| Pediatric Medicine, Emergency Medicine | IL | |
| - | IL | |
| - | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | MI |
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