ABDUS SAMAD SOUDAGAR (M.D.) – Gastroenterology Physician, NPI 1043447774
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
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Provider Addresses for ABDUS SAMAD SOUDAGAR (M.D.)
396, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
260
BOLINGBROOK, IL 604404302
Phone: (630) 312-2590
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $2,935.
Total Amount is formed as General ($2,935) + Research ($0) + Ownership ($0) = $2,935.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Boston Scientific Corporation ($2,416).
Total Amount
$2,935
General + Research + Ownership
Payments
21
Total payment records
General Amount
$2,935
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,416 |
| Cook Medical LLC | $140 |
| Apollo Endosurgery US Inc | $136 |
| Medtronic, Inc. | $119 |
| Endogastric Solutions, Inc | $108 |
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: 2015-07-07
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 |
|---|---|---|---|---|
| I20150707002234 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 227 | 218 | $0 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 114 | 109 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 100 | 99 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 82 | 82 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 80 | 80 | $0 |
Insurance plans in this area (ZIP 60440)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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