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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KWEKU G SAM JR. MD
NPI 1093789406
Pediatrics in Middlebury, CT

Active since February 14, 2006PECOS Enrolled
1625 STRAITS TPKE, MIDDLEBURY, CT 06762(203) 759-0666(203) 568-2919 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kweku G Sam Jr. Md NPPES

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

DR. KWEKU G SAM JR. MD (NPI 1093789406) is an individual pediatrics provider in Middlebury, Connecticut, licensed in Connecticut (035963) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093789406
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KWEKU G SAM JR.Credential: MD
Location Address1625 STRAITS TPKEMiddlebury, CT 06762-1805
Mailing Address1625 Straits TpkeMiddlebury, CT 06762-1805 · (203) 573-9512 · Fax (203) 568-2904
Phone(203) 759-0666
Fax(203) 568-2919
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1093789406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 035963
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1625 STRAITS TPKE, Middlebury, CT 06762
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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. Kweku G Sam Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELIZABETH MARIE LUCCHESI
Dentist (General Practice)
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-3889
JESSICA L MEGER MS, ATC, PA-C
Physician Assistant (Surgical)
1625 STRAITS TPKE, SUITE #211
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 573-9512
KAILYN SCHUSTER
Physical Therapist
1625 STRAITS TPKE, SUITE 303
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-0400
DR. JUAN DIEGO HOLGUIN MD
Surgery
1625 STRAITS TPKE, SUITE 200
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 568-2915
SHIRLEY Y SAMY APRN
Registered Nurse
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-8107
MR. HOWARD A SMITH PA-C
Physician Assistant (Medical)
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 759-0666
SUPHICHAYA MUANGMAN M.D.
Internal Medicine (Cardiovascular Disease)
1625 STRAITS TPKE, SUITE 209
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-9100
MS. STEPHANIE LAUREN GUNNOUD APRN
Nurse Practitioner
1625 STRAITS TPKE, SUITE 110
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-8107

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 Kweku Sam's NPI number?

The NPI number for Kweku Sam is 1093789406. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kweku Sam located?

Kweku Sam practices at 1625 Straits Tpke, Middlebury, CT 06762. The listed phone number is (203) 759-0666.

What is Kweku Sam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kweku Sam enrolled in Medicare?

Yes. Kweku Sam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kweku Sam was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.