STEPHANIE LYNN SAMUELS M.D.
NPI 1194084541
Pediatrics - Pediatric Endocrinology in New Haven, CT

Active since May 04, 2012PECOS Enrolled
1 PARK ST, NEW HAVEN, CT 06504(617) 548-9759 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 29, 2019, Jul 25, 2017 (3 updates tracked since 2017).

About Stephanie Lynn Samuels M.d. NPPES

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

STEPHANIE LYNN SAMUELS M.D. (NPI 1194084541) is an individual pediatric endocrinology provider in New Haven, Connecticut, licensed in Connecticut (064059) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1194084541
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameSTEPHANIE LYNN SAMUELSCredential: M.D.
Location Address1 PARK STNew Haven, CT 06504-8901
Mailing Address34th And Civic Center Boulevard, The Children's Hospital Of PhiladelphiaPhiladelphia, PA 19104 · (215) 590-3174 · Fax (215) 590-3053
Sole ProprietorYes
Enumeration DateMay 4, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1194084541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses Licensed in CT · 064059 Licensed in PA · MT208972
Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

1 PARK ST, New Haven, CT 06504

Secondary Practice Location 1

Location 134th and Civic Center Boulevard, The Children's Hospital of PhiladelphiaPhiladelphia, PA 19104 · Phone (215) 590-3174 · Fax (215) 590-3053

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Lynn Samuels M.d. 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 06504 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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.

Pediatrics (Pediatric Nephrology)
1 PARK ST, YALE NEW HAVEN CHILDREN'S HOSPITAL
NEW HAVEN, CT 06504
Pediatrics (Pediatric Critical Care Medicine)
1 PARK ST, YALE-NEW HAVEN CHILDREN'S HOSPITAL
NEW HAVEN, CT 06504
Nurse Practitioner (Pediatrics)
1 PARK ST, 7TH FLOOR
NEW HAVEN, CT 06504
General Acute Care Hospital (Children)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Family)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Neonatal-Perinatal Medicine)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Pediatrics)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Family)
1 PARK ST, 2ND FLOOR
NEW HAVEN, CT 06504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194084541, enumerated as an "individual" on May 04, 2012.

The provider is located at 1 PARK ST NEW HAVEN, CT 06504 and the phone number is (617) 548-9759.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.