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DR. SAMUELSON ESOGHOSA OSIFO MBBS
NPI 1194413195
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 27, 2023PECOS Enrolled
20 YORK STREET, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuelson Esoghosa Osifo Mbbs NPPES

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

DR. SAMUELSON ESOGHOSA OSIFO MBBS (NPI 1194413195) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194413195
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUELSON ESOGHOSA OSIFOCredential: MBBS
Location Address20 YORK STREET, YALE NEW HAVEN HOSPITALNew Haven, CT 06510-3220
Mailing Address20 York Street, Ynhh, Tompkins 226New Haven, CT 06510-3220 · (203) 688-9503
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateApril 27, 2023
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1194413195 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.

20 YORK STREET, New Haven, CT 06510
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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. Samuelson Esoghosa Osifo Mbbs 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.

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.

SARAH HILL LCSW
Social Worker (Clinical)
20 YORK STREET, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9907
JENNIFER PALERMO MD
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
TASHA LEE CUVI APRN
Nurse Practitioner (Gerontology)
20 YORK STREET, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
NIKHIL SEVAL M.D.
Internal Medicine
20 YORK STREET, YNHH - IM INFECTIOUS DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
JESSICA LAUREN DOLMAN MD
Hospitalist
20 YORK STREET, YNHH DEPT OF INTERNAL MEDICINE
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
EESHA VIJAYKUMAR NATARAJAN MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
NIRANJANA RAMANI MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
MRS. SHARON MOALES LCSW
Social Worker (Clinical)
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5193

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 Samuelson Osifo's NPI number?

The NPI number for Samuelson Osifo is 1194413195. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Samuelson Osifo located?

Samuelson Osifo practices at 20 York Street Yale New Haven Hospital, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Samuelson Osifo's specialty?

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

Is Samuelson Osifo enrolled in Medicare?

Yes. Samuelson Osifo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuelson Osifo was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.