Samaj Adhikari, MD - Medicare Internal Medicine in Decatur, IL

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Samaj Adhikari, MD is a medicare enrolled "Internal Medicine" physician in Decatur, Illinois. His current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-8121.

Samaj Adhikari is licensed to practice in Illinois (license number 036164114) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306459979.

Contact Information

Samaj Adhikari, MD
2300 N Edward St,
Decatur, IL 62526-4192
(217) 876-8121
Not Available

Map and Direction




Physician's Profile

Full NameSamaj Adhikari
GenderMale
SpecialityInternal Medicine
Location2300 N Edward St, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306459979
  • Provider Enumeration Date: 08/24/2020
  • Last Update Date: 10/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123472750
  • Enrollment ID: I20230929001878

Medical Identifiers

Medical identifiers for Samaj Adhikari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306459979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036164114 (Illinois)Primary
208M00000XHospitalist 036164114 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samaj Adhikari allows following entities to bill medicare on his behalf.
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685
Entity NameTaylorville Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518170729
PECOS PAC ID: 8022914704
Enrollment ID: O20031211001049

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samaj Adhikari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samaj Adhikari, MD
2300 N Edward St,
Decatur, IL 62526-4192

Ph: (217) 876-8121		Samaj Adhikari, MD
2300 N Edward St,
Decatur, IL 62526-4192

Ph: (217) 876-8121

Reviews and Comments


Internal Medicine Doctors in Decatur, IL

Dr. Jeffrey P Wilson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-8121    
Dr. Jeanne Marie Kairouz, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521
Phone: 217-422-6100    
Dr. Stephen R Goetter, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Prameeta Jha,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526
Phone: 217-876-3660    Fax: 217-876-3665
David W Baumberger, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Ahmad H Ahmad, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521
Phone: 217-428-7921    Fax: 217-428-7931
Nadal M Aker, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.