Prem K Samuel (NPI# 1043266380, PAC ID# 6901702554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1043266380 |
| PAC ID by PECOS | 6901702554 |
| Professional Enrollment ID | I20031212000305 |
| Full Name | Prem K Samuel |
| Organization Legal Name | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Address |
19550 E 39th St Suite 105 Independence MO 64057-1926 |
| Phone Number | 8168330381 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | THORACIC SURGERY |
| Group Practice PAC ID | 7618122417 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260095 | CENTERPOINT MEDICAL CENTER |
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19550 E 39th St, Suite 105, Independence, MO 64057-1926 | 8168330381 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 | 8162764800 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 | 9132270506 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Koerber | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 |
| Dhanunjaya R Lakkireddy | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Marco S Mazzella | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 17065 S Outer Rd, Belton Regional Medical Center, Belton, MO 64012-2165 |
| Justin Ross Van Meeteren | Thoracic Surgery | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Casey Jean Cope | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 |
| Ujjaval M Patel | Interventional Cardiology | Midwest Heart and Vascular Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Thomas F Baldwin | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Catherine T Cheshire | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Cesar D Rios | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Aaron Lee Doonan | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Street Address |
19550 E 39TH ST SUITE 105 |
| City | INDEPENDENCE |
| State | MO |
| Zip | 64057-1926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly R Osmundson | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Kiersten M Moreno | Obstetrics/gynecology | Signature Medical Group of Kc Pa | 19550 E 39th St, Suite 300, Independence, MO 64057-2306 |
| Tracy Giese | Nurse Practitioner | Centerpoint Physicians Group LLC | 19550 E 39th St, Suite 245, Independence, MO 64057-2303 |
| Rick L Abbott | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19550 E 39th St, 100 Centerpoint Ambulatory Surgery Center, Independence, MO 64057-1917 |
| Mark R Killman | Physical Medicine and Rehabilitation | 19550 E 39th St, Suite 415, Independence, MO 64057-2307 | |
| Vinod Velakaturi | Internal Medicine | Centerpoint Physicians Group LLC | 19550 E 39th St, Suite 245, Independence, MO 64057-2303 |
| Karla D Wilmot | Nurse Practitioner | Centerpoint Physicians Group LLC | 19550 E 39th St, Suite 245, Independence, MO 64057-2303 |
| Kimberly A Swan | Obstetrics/gynecology | Centerpoint Physicians Group LLC | 19550 E 39th St, Suite 245, Independence, MO 64057-2303 |
| Brandon S Meseberg | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Jamie Lynn Werner | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 19550 E 39th St, Suite 105, Independence, MO 64057-1926 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Lindsey | Chiropractic | 2333s 291 Hwy, Independence, MO 64057 | |
| Christopher Wise | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Andre M Jakoi | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Courtney Adams | Physician Assistant | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Jeffrey A Krempec | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Nathan J Kiewiet | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Janese B Surber | Nurse Practitioner | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Nikki A Vogel | Physician Assistant | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Zachary V Roberts | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Alexa Kyl Moberly | Physician Assistant | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Find all physicians in zip 64057 | |||
| City | INDEPENDENCE |
| Zip Code | 64057 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | INDEPENDENCE + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Prem K Samuel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.