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KENNETH APPAH SAMPONG, P.A.
NPI 1073674404
Internal Medicine - Cardiovascular Disease in Leesburg, FL

Active since December 12, 2006CLIA 10D1018109 · Waiver
709 PHYSICIANS CT, LEESBURG, FL 34748(352) 728-5116(352) 728-5928 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kenneth Appah Sampong, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH APPAH SAMPONG, P.A. (NPI 1073674404) is a healthcare organization registered as a cardiovascular disease in Leesburg, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Kenneth Appah Sampong, President, as its authorized official.

NPPES Registry Identity

NPI1073674404
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameKENNETH APPAH SAMPONG, P.A.
Location Address709 PHYSICIANS CTLeesburg, FL 34748-7357
Mailing Address709 Physicians CtLeesburg, FL 34748-7357 · (352) 728-5116 · Fax (352) 728-5928
Phone(352) 728-5116
Fax(352) 728-5928
Organization SubpartNo
Authorized OfficialKenneth Appah SampongPresident · (352) 728-5116
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1073674404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
709 PHYSICIANS CT, Leesburg, FL 34748
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Other Identifiers 2

Medicare PINK9056FL
Medicare PINDE1985FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1018109

Kenneth A Sampong MD · Leesburg, FL
Active · expires Oct 13, 2027
CLIA Number10D1018109
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorKenneth A. Sampong MD
Laboratory Phone(352) 728-5116
Laboratory LocationKenneth A Sampong MD709 Physician Ct, Leesburg, FL 34748
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Appah Sampong, P.A.'s NPI number?

The NPI number for Kenneth Appah Sampong, P.A. is 1073674404. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Kenneth Appah Sampong, P.A. located?

Kenneth Appah Sampong, P.A. is located at 709 Physicians Ct, Leesburg, FL 34748. The listed phone number is (352) 728-5116.

What is Kenneth Appah Sampong, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Kenneth Appah Sampong, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1018109) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth Appah Sampong, P.A. was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.