Sam Boroumand
NPI 1417727793ActiveIndividual· Plastic Surgery· Chicago, IL
Plastic Surgery in Chicago, Illinois, licensed in IL, with an NPI issued in January 2024. Enrolled in Medicare as order and referring only - plastic and reconstructive surgery. Davol Inc. was the largest of 2 companies reporting payments in 2025, $312.50 in all, mostly food and beverage.
Overview
| NPI | 1417727793 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 8, 2024 |
| Last updated in NPPES | Jun 20, 2025 |
| Certified by provider | Jun 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 125.085555 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Plastic and Reconstructive Surgery (IL) |
|---|
Industry payments (Open Payments)
- 2025$312.50 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $170.27 | 1 |
| Ets Wound Care LLC | $142.23 | 1 |
What the 2025 payments were for
- Food and Beverage$312.50 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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