SAMUEL R EBY (MD) – Nephrology Physician, NPI 1043262447
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMUEL R EBY (MD)
7836 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 468044165
Phone: (260) 494-3484
Fax: (260) 969-0188
Type: Location
Oak Park, Huntsville, Madison County, Alabama, 35801-3609, United States
OAK PARK, IL 603024420
Phone: (708) 492-4077
Fax: (708) 386-2839
Type: Mailing
11104, Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States
ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Phone: (260) 471-5114
Fax: (260) 471-5211
Type: Location
120 W 22ND ST STE 200
OAK BROOK, IL 605231563
Phone: (630) 575-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-24
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 |
|---|---|---|---|---|
| I20100924000786 | I | Nephrology | IN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 118 | 108 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 101 | 16 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 81 | 62 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 27 | 11 | $0 |
| 90945 | Dialysis procedure including 1 evaluation | 23 | 19 | $0 |
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | IN | 90935 | Hemodialysis procedure with one physician evaluation | 265 | 154 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| - | IL | |
| N E P H R O L O G Y | IL |
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