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DR. KWABENA SEFAH NKETIAH SARPONG MBCHB
NPI 1093335838
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 22, 2020PECOS Enrolled
267 GRANT STREET, BRIDGEPORT, CT 06610(203) 384-3000 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Jun 20, 2023, Jan 25, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Kwabena Sefah Nketiah Sarpong Mbchb NPPES

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

DR. KWABENA SEFAH NKETIAH SARPONG MBCHB (NPI 1093335838) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Peoria, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093335838
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KWABENA SEFAH NKETIAH SARPONGCredential: MBCHB
Location Address267 GRANT STREETBridgeport, CT 06610
Mailing Address267 Grant StreetBridgeport, CT 06610 · (203) 384-3000
Phone(203) 384-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 22, 2020
Last NPPES UpdateJanuary 25, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1093335838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT STREET, Bridgeport, CT 06610
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Secondary Practice Location 1

Location 1900 Main St Ste 630Peoria, IL 61602-5024 · Phone (309) 672-4433 · Fax (309) 672-4434

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kwabena Sefah Nketiah Sarpong Mbchb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244700409
PECOS Enrollment IDI20260528003103
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LUCIA PLICHTOVA M.D.
Internal Medicine
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3792
MRS. KAYLA ANGELA BOYEA MD
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
MRS. MAYSSAA HOTEIT M.D
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
EVGENY SHKOLNIK M.D.
Internal Medicine (Cardiovascular Disease)
267 GRANT STREET, BRIDGEPORT HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3792
SAMDISH SETHI
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
KARTHIK MATHIALAGAN M.D
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
FRANCES DENU MD
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4677
MR. VLADISLAV TUROV M.D.
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3792

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 Kwabena Nketiah Sarpong's NPI number?

The NPI number for Kwabena Nketiah Sarpong is 1093335838. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Kwabena Nketiah Sarpong located?

Kwabena Nketiah Sarpong practices at 267 Grant Street, Bridgeport, CT 06610. The listed phone number is (203) 384-3000.

What is Kwabena Nketiah Sarpong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kwabena Nketiah Sarpong enrolled in Medicare?

Yes. Kwabena Nketiah Sarpong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kwabena Nketiah Sarpong was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.