MR. PREM KUMAR SAMUEL (M.D.) – Specialist, NPI 1043266380
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
29 CARDIAC SURGERY in KS
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Provider Addresses for MR. PREM KUMAR SAMUEL (M.D.)
West 119th Street, Overland Park, Johnson County, Kansas, 66251, United States
SUITE 120
OVERLAND PARK, KS 662093721
Phone: (913) 906-0833
Fax: (816) 523-5747
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 16 Open Payments records for all available years, with a total value of $1,900.
Total Amount is formed as General ($1,900) + Research ($0) + Ownership ($0) = $1,900.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bolton Medical Inc ($815).
Total Amount
$1,900
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,900
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bolton Medical Inc | $815 |
| ATRICURE, INC. | $489 |
| ABIOMED | $302 |
| Davol Inc. | $156 |
| Siemens Medical Solutions USA, Inc. | $138 |
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: 2005-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20031212000305 | I | Cardiac Surgery | MO | TBD |
| I20050323000813 | I | Cardiac Surgery | KS | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
| 33508 | Harvest of vein using an endoscope | 17 | 17 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 17 | 17 | $0 |
| 32666 | Initial removal of wedge of lung tissue using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 66209)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology) | KS | |
| Cardiac Surgery, Thoracic Surgery | MO | |
| Nurse Practitioner | MO | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | KS | |
| Interventional Cardiology, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| - | MO | |
| Nurse Practitioner | MO | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | KS |
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