SAMANTHA PAIGE DERGAI MD
NPI 1235926239
Student in an Organized Health Care Education/Training Program in Madison, WI
About Samantha Paige Dergai Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA PAIGE DERGAI MD (NPI 1235926239) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Paige Dergai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MADISON, WI 53704
MADISON, WI 53704
MADISON, WI 53704
MADISON, WI 53704
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 Samantha Dergai's NPI number?
The NPI number for Samantha Dergai is 1235926239. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Samantha Dergai located?
Samantha Dergai practices at 3209 Dryden Dr, Madison, WI 53704. The listed phone number is (608) 241-9020.
What is Samantha Dergai's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Dergai enrolled in Medicare?
Yes. Samantha Dergai is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Dergai was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Samantha Paige Dergai, MD · NPI 1235926239
Student in an Organized Health Care Education/Training Program provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1235926239 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3209 DRYDEN DR, Madison, WI 53704-3015
- **Phone:** (608) 241-9020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235926239) · Data from the CMS NPPES public registry.