SAMUEL GENE MCNEELEY (MD) – Obstetrics & Gynecology Physician, NPI 1053358556

SAMUEL GENE MCNEELEY (MD) is a healthcare provider. based in Chicago, Illinois. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 4301049030 (MI). The NPI Number for SAMUEL GENE MCNEELEY (MD) is 1053358556

Main info

Male
Name
SAMUEL GENE MCNEELEY (MD)
NPI
1053358556
Phone
(810) 720-5715
Address
2306 MOMENTUM PLACE
Enumeration Date
1 June 2006
Last Update Date
18 February 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SAMUEL GENE MCNEELEY (MD)

  • 2306 MOMENTUM PLACE

    CHICAGO, IL 606895323

    Phone: (810) 720-5715

    Fax: (810) 732-0891

    Type: Mailing

  • Professional Building, 4727, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    SUITE 304

    DETROIT, MI 482011461

    Phone: (313) 745-0499

    Fax: (313) 833-8801

    Type: Location

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: 2006-06-29

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
I20060629000319IObstetrics/GynecologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60689)

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Reviews

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Frequently asked questions

Does SAMUEL GENE MCNEELEY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMUEL GENE MCNEELEY (MD) uses 1053358556.
Is SAMUEL GENE MCNEELEY (MD) still practicing?
SAMUEL GENE MCNEELEY (MD) is currently listed as active in the public NPI registry.
What healthcare role does SAMUEL GENE MCNEELEY (MD) hold?
Scheduling teams often label SAMUEL GENE MCNEELEY (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SAMUEL GENE MCNEELEY (MD) on a map?
Expect Chicago, Illinois as a primary anchor for SAMUEL GENE MCNEELEY (MD) unless the record lists multiple sites.
Is the information about SAMUEL GENE MCNEELEY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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