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Katrina Sam

Physician Assistant β€’ Cicero, IL

Active NPI 1043160518 Individual Practitioner Female Practitioner
Practice location in NPPES

5741 W Cermak Rd
Cicero, IL 608042129

Call 7082220100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5741 W Cermak Rd

Cicero, IL 608042129

Telephone 7082220100
Organization at the Same NPPES Address or Phone
Cermak Medical Group Llc Facility NPI 1518498393

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cicero and Illinois

11 active clinicians are listed under Physician Assistant with a practice address in Cicero, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cicero

9.1% of these 11 clinicians have the CMS telehealth indicator.

36.4% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Nicole Kula , PA-C

Physician Assistant

NPI 1184333627

Physician Assistant (Certified)

Haley Scheller , PA-C

Physician Assistant

NPI 1437911039

Physician Assistant (Certified)

NPI 1174812853

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 06, 2026

Registered at 5741 W CERMAK RD, CICERO, IL 608042129 (Tel: 7082220100)

πŸ“
Updated Business Mailing Address July 06, 2026

Registered at 5741 W CERMAK RD, CICERO, IL 608042129

βœ…
NPI Profile Active February 02, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 02, 2026

Registered at 98 GOLFVIEW DR, GLENDALE HEIGHTS, IL 601393670 (Tel: 9899924587)

πŸ“
Business Mailing Address (Initial Record) February 02, 2026

Registered at 98 GOLFVIEW DR, GLENDALE HEIGHTS, IL 601393670

πŸ‘€
Provider Name / Credentials (Initial Record) February 02, 2026

Recorded as KATRINA SAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2026

Physician Assistant

🟒
Initial NPI Registration & Enumeration February 02, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043160518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2026
Last Update: July 06, 2026
Sole Proprietor: No

Other Physician Assistants in Cicero

All Physician Assistants in Cicero

Mailing Address

5741 W Cermak Rd

Cicero, IL 608042129

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.