Mr Samuel Dominic Kobba, NP - Medicare Nurse Practitioner in Elkhart, IN

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Mr Samuel Dominic Kobba, NP is a medicare enrolled "Nurse Practitioner - Family" in Elkhart, Indiana. He graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Heart City Health Center Inc and his current practice location is 236 Simpson Ave, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 293-0052.

Mr Samuel Dominic Kobba is licensed to practice in Indiana (license number 71000742A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811211154.

Contact Information

Mr Samuel Dominic Kobba, NP
236 Simpson Ave,
Elkhart, IN 46516-4666
(574) 293-0052
(574) 343-1390

Map and Direction




Provider's Profile

Full NameMr Samuel Dominic Kobba
GenderMale
SpecialityNurse Practitioner
Experience28 Years
Location236 Simpson Ave, Elkhart, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Samuel Dominic Kobba graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1811211154
  • Provider Enumeration Date: 03/16/2010
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941432918
  • Enrollment ID: I20140407001727

Medical Identifiers

Medical identifiers for Mr Samuel Dominic Kobba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811211154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71000742A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Heart City Health Center Inc993100838011

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. Mr Samuel Dominic Kobba allows following entities to bill medicare on his behalf.
Entity NameEskenazi Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730451063
PECOS PAC ID: 4284546813
Enrollment ID: O20031103000440
Entity NameHeart City Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720033418
PECOS PAC ID: 9931008380
Enrollment ID: O20040105000515
Entity NameThe Health And Hospital Corporation Of Marion County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104027879
PECOS PAC ID: 6709795974
Enrollment ID: O20041229000426
Entity NameBridge Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568935278
PECOS PAC ID: 0244572956
Enrollment ID: O20190430000446

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. Mr Samuel Dominic Kobba 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
Mr Samuel Dominic Kobba, NP
5550 S East St Ste C,
Indianapolis, IN 46227-1991

Ph: (317) 534-4660		Mr Samuel Dominic Kobba, NP
236 Simpson Ave,
Elkhart, IN 46516-4666

Ph: (574) 293-0052

Reviews and Comments


Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    
Ms. Cecilia Mumbi Maina, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    
Mr. Kenneth Francis Raderstorf Iii, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3301 County Road 6 E, Elkhart, IN 46514
Phone: 574-266-5342    Fax: 574-266-5847
Rosemary J Eash, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1627 E Bristol St, Elkhart, IN 46514
Phone: 574-262-0313    Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    
Ashley Marie Brunt, NURSE PRA
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 Arcade Ave Ste 400, Elkhart, IN 46514
Phone: 574-522-2284    Fax: 574-522-3952
Mrs. Catherine E Dos Santos, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3421 S Main St, Elkhart, IN 46517
Phone: 574-295-7178    Fax: 574-295-8822

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.