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MR. PREM KUMAR SAMUEL M.D. NPI 1043266380


NPI Information

NPI: 1043266380
Provider Name: MR. PREM KUMAR SAMUEL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5701 W 119TH ST
SUITE 120
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 906-0833
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MR. Prem Kumar Samuel, M.D. is a specialist in Overland Park, KS with 39 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Prem Kumar Samuel, M.D. NPI is 1043266380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5701 W 119TH ST
SUITE 120
OVERLAND PARK, KS
ZIP 66209-721
Phone: (913) 906-0833
Fax: (816) 523-5747

The NPI 1043266380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Removal of lymph nodes of mid-chest cavity using an endoscope (HCPCS:32674)

The enumeration date for this NPI number is 5/26/2006 and was last updated on 1/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist29521KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1QO5B577MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE
2QO5B577AMEDICARE ID-TYPE UNSPECIFIEDKANSASMEDICARE
3100416510BMEDICAIDKANSAS
4205761604MEDICAIDMISSOURI
5100416510CMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.