MONICA ABANDOH-SAM MD
NPI 1124917950
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since June 27, 2025PECOS Enrolled
1 CHILDRENS WAY # 512-194, LITTLE ROCK, AR 72202(501) 364-1874(501) 364-3196 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Monica Abandoh-sam Md NPPES

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

MONICA ABANDOH-SAM MD (NPI 1124917950) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124917950
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMONICA ABANDOH-SAMCredential: MD
Location Address1 CHILDRENS WAY # 512-194Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 512-194Little Rock, AR 72202-3500 · (501) 364-1874 · Fax (501) 364-3196
Fax(501) 364-3196
Sole ProprietorNo
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
NPI 1124917950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1 CHILDRENS WAY # 512-194, Little Rock, AR 72202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Monica Abandoh-sam 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.

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 Monica Abandoh-sam's NPI number?

The NPI number for Monica Abandoh-sam is 1124917950. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Monica Abandoh-sam located?

Monica Abandoh-sam practices at 1 Childrens Way # 512-194, Little Rock, AR 72202. The listed phone number is (501) 364-1874.

What is Monica Abandoh-sam's specialty?

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

Is Monica Abandoh-sam enrolled in Medicare?

Yes. Monica Abandoh-sam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Monica Abandoh-sam was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.