DR. SURESH NELSON SAMSON (M.D) – Nephrology Physician, NPI 1265685242

DR. SURESH NELSON SAMSON (M.D) is a healthcare provider. based in Joliet, Illinois. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 036-132030 (IL). The NPI Number for DR. SURESH NELSON SAMSON (M.D) is 1265685242

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURESH NELSON SAMSON (M.D)
NPI
1265685242
Phone
(815) 741-6830
Address
PO BOX 3877
Enumeration Date
4 November 2008
Last Update Date
15 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7088980811
Graduation Year
2002 (24 years ago)
PAC ID
9739323254
Group Practice PAC ID
2163640533
Professional Enrollment ID
I20130926000131
Address ID
IL604611179OL3302XRDXX300

Contacts

Secure Messaging
ssamson275998@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

629 NEPHROLOGY in IL

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Provider Addresses for DR. SURESH NELSON SAMSON (M.D)

  • PO BOX 3877

    JOLIET, IL 604343877

    Phone: (815) 741-6830

    Fax: (815) 741-6832

    Type: Mailing

  • Vollmer Road, Olympia Fields, Rich Township, Cook County, Illinois, 60443, United States

    OLYMPIA FIELDS, IL 604611179

    Phone: (708) 898-0811

    Fax: (708) 898-1839

    Type: Location

  • 3302 VOLLMER RD

    OLYMPIA FIELDS, IL 604611179

    Phone: (708) 898-0811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $954.

Total Amount is formed as General ($954) + Research ($0) + Ownership ($0) = $954.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Horizon Therapeutics plc ($345).

Total Amount

$954

General + Research + Ownership

Payments

44

Total payment records

General Amount

$954

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130926000131INephrologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes950215$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month635106$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month33999$0
99214Established patient office or other outpatient visit, 30-39 minutes265137$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes162142$0
View full utilization report →

Insurance plans in this area (ZIP 60434)

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Provider's Procedures

DR. SURESH NELSON SAMSON (M.D) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYIL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older16457
NEPHROLOGYIL90966Home dialysis services per month, patient 20 years of age or older8917

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163640533View full group profile
NameSpecialtyState
Nephrology, Internal MedicineIL
Nephrology, Internal MedicineIL
Nephrology, Internal MedicineIL
N E P H R O L O G YCA
Nephrology, Internal MedicineNC
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up DR. SURESH NELSON SAMSON (M.D) by NPI?
Use NPI 1265685242 when you need to reference DR. SURESH NELSON SAMSON (M.D) in forms, claims, or directories.
Is DR. SURESH NELSON SAMSON (M.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. SURESH NELSON SAMSON (M.D)'s specialty in plain language?
Clinically, the directory lists DR. SURESH NELSON SAMSON (M.D) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. SURESH NELSON SAMSON (M.D)?
We surface Joliet, Illinois for DR. SURESH NELSON SAMSON (M.D) based on available NPPES addresses.
What if Joliet, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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