Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306459979 Individual Practitioner Male Practitioner

Dr. Samaj Adhikari , MD

Internal Medicine • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samaj Adhikari, MD is a certified Internal Medicine practicing in Decatur, IL. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Adhikari delivers high-quality medical care to the local community at 2300 N EDWARD ST.

Dr. Adhikari maintains professional affiliations with Pana Community Hospital Association, Decatur Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2300 N Edward St

Decatur, IL 625264192

Telephone 2178768121
Associated Practice Facility / Clinic
🏢 Decatur Memorial Hospital Facility NPI 1609879097

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Decatur, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -6.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Decatur, IL (7544 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Adhikari (11 Years) 11 Yrs
Decatur Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
580 246 $285.38 $75.96
99238 Hospital discharge day management, 30 minutes or less
180 168 $286.94 $77.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
162 155 $538.23 $126.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes
45 21 $158.53 $47.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
37 22 $411.95 $114.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
33 31 $804.55 $166.71
99316 Nursing facility discharge management, more than 30 minutes
14 14 $330.00 $126.17
99239 Hospital discharge day management, more than 30 minutes
13 13 $330.00 $109.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
12 11 $175.00 $71.35

Medical Specialties & State Licenses

CMS Verified: 2024-10-23
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036164114

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IL 036164114

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Pana Community Hospital Association

101 E 9th St, Pana, IL 625571716

Phone: 2175626246

Decatur Memorial Hospital

241 W Weaver Rd, Forsyth, IL 625359766

Phone: 2178765220

Decatur Memorial Hospital

2300 N Edward St, Decatur, IL 625264163

Phone: 2178768121

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jason Grauer , APRN

Nurse Practitioner - Family

NPI 1003463225

Advanced Practice Registered Nurse

NPI 1023096401

Doctor of Medicine (M.D.)

Lindsay Beery , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033366893

Certified Registered Nurse Anesthetist

Dr. Elvis Mensah , MD

Family Medicine

NPI 1063146173

Doctor of Medicine (M.D.)

Hayley Long

Occupational Therapy Assistant

NPI 1083392856
NPI 1083612873

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 23, 2024

Registered at 2300 N EDWARD ST, DECATUR, IL 625264192 (Tel: 2178768121)

📍
Updated Business Mailing Address October 23, 2024

Registered at 2300 N EDWARD ST, DECATUR, IL 625264192 (Tel: 2178768121)

👤
Provider Name / Credentials Updated October 23, 2024

Recorded as SAMAJ ADHIKARI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2024

Internal Medicine (License #036164114 in IL)

NPI Profile Active August 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2020

Registered at 1545 ATLANTIC AVE, BROOKLYN, NY 112131122 (Tel: 7186134000)

📍
Updated Business Mailing Address August 24, 2020

Registered at 1545 ATLANTIC AVE, BROOKLYN, NY 112131122 (Tel: 7186134000)

👤
Provider Name / Credentials Updated August 24, 2020

Recorded as SAMAJ ADHIKARI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samaj Adhikari. Be the first to share your experience!

Sign in to leave a review for Dr. Samaj Adhikari

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306459979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2020
Last Update: October 23, 2024
Sole Proprietor: No

Mailing Address

2300 N Edward St

Decatur, IL 625264192

Phone: 2178768121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.