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

Mr. Prem Kumar Samuel, MD

Individual provider Specialist · NPI 1043266380

Mr. Prem Kumar Samuel, MD is a Cardiac Surgery in Overland Park, Kansas. Qualified in 1985, 41 years ago. Practices with Midwest Heart and Vascular Specialists LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
41
Licensed in
KS
In the registry since
2006
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

5701 W 119th St Ste 120
Overland Park, KS 66209-3721
Phone: (913) 906-0833
Fax: (816) 523-5747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 29521 (KS)

Record details

NPI number1043266380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJanuary 21, 2014

Medicare enrollment

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

Medicare specialtyCARDIAC SURGERY
Also practisesTHORACIC SURGERY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Midwest Heart And Vascular Specialists Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Overland Park