SAMER NABIL MUALLEM (M.D.) – Interventional Cardiology Physician, NPI 1023549920
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
465 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for SAMER NABIL MUALLEM (M.D.)
465 N PARK DR APT 905
CHICAGO, IL 606110005
Phone: (610) 406-3956
Type: Mailing
251 E HURON ST
CHICAGO, IL 606113055
Phone: (312) 926-2000
Type: Location
500 University Dr
Hershey, PA 170332360
Phone: (800) 243-1455
Type: Location
PO BOX 858
MC A410
HERSHEY, PA 170330858
Phone: (800) 243-1455
Type: Mailing
Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States
HERSHEY, PA 170332360
Phone: (800) 243-1455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $4,741.
Total Amount is formed as General ($4,741) + Research ($0) + Ownership ($0) = $4,741.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($3,076).
Total Amount
$4,741
General + Research + Ownership
Payments
23
Total payment records
General Amount
$4,741
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $3,076 |
| Edwards Lifesciences Corporation | $1,096 |
| CARDIVA MEDICAL, INC. | $227 |
| Biosense Webster, Inc. | $140 |
| Boston Scientific Corporation | $46 |
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: 2020-06-30
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 |
|---|---|---|---|---|
| I20200630001203 | I | Cardiovascular Disease (Cardiology) | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Hospitalist | NY | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | PA | |
| Physician Assistant | DE | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Family Practice | NV |
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