Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Praveen Kumar Sampath, MD

Individual provider Gastroenterology Physician · NPI 1023348299

Dr. Praveen Kumar Sampath, MD is a Gastroenterology in Maywood, Illinois. Qualified in 1998, 28 years ago. Practices with Seton Family of Doctors, a 785-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Florida, Illinois and Texas.

Years since qualifying
28
Licensed in
AZ, FL, IL, TX
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 810 Ainsworth Dr Ste A, Prescott, AZ 86301-1612 — (928) 771-5548
  • 404 Lincoln Dr, Herrin, IL 62948-3789 — (618) 993-0056

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036164435 (IL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence ME117230 (FL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 55431 (AZ)
Gastroenterology Physician Taxonomy 207RG0100X · Licence Q2845 (TX)

Record details

NPI number1023348299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2010
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Seton Family Of Doctors — 785 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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