DMITRY V SAMSONOV MD
NPI 1356595862
Pediatrics - Pediatric Nephrology in Hawthorne, NY

Q: What is Dmitry Samsonov's NPI number?

The NPI number for Dmitry Samsonov is 1356595862. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: What is Dmitry Samsonov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Dmitry Samsonov was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since November 11, 2008PECOS EnrolledAccepts Medicare Assignment

19 BRADHURST AVE, STE 1400, HAWTHORNE, NY 10532(914) 493-7583(914) 594-4011 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dmitry V Samsonov Md NPPES

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

DMITRY V SAMSONOV MD (NPI 1356595862) is an individual pediatric nephrology provider in Hawthorne, New York, licensed in New York (269800) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1356595862

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameDMITRY V SAMSONOVCredential: MD

Location Address19 BRADHURST AVE, STE 1400Hawthorne, NY 10532-2140

Mailing AddressPo Box 1020Hawthorne, NY 10532-7507 · (914) 493-7583 · Fax (914) 594-4011

Phone(914) 493-7583

Fax(914) 594-4011

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateNovember 11, 2008

Last NPPES UpdateJuly 23, 2013

✔ NPI 1356595862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Licenses✔ Licensed in NY · 269800✔ Licensed in NY · 003556

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

19 BRADHURST AVE, Hawthorne, NY 10532

Open in Google Maps ↗

Other Identifiers 2

Medicare PINA400045978NY

Medicaid03266039NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dmitry V Samsonov Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335322494

PECOS Enrollment IDI20110328000109

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.

CORDELIA V SHARMA MD

Internal Medicine (Critical Care Medicine)

19 BRADHURST AVE, SUITE 3040N
HAWTHORNE, NY 10532

Westchester County (914) 493-6820

DR. AMY MICHELLE WASSERMAN M.D.

Internal Medicine (Rheumatology)

19 BRADHURST AVE, SUITE 3070N
HAWTHORNE, NY 10532

Westchester County (914) 372-7887

GIFTY ADJEI-DUGBATEY FNP

Nurse Practitioner (Primary Care)

19 BRADHURST AVE
HAWTHORNE, NY 10532

Westchester County (347) 369-8719

KARIM BAKASH SOLANGI MD

Internal Medicine (Nephrology)

19 BRADHURST AVE, SUITE 200N
HAWTHORNE, NY 10532

Westchester County (914) 493-7701

CARMELO ANTHONY PUCCIO M.D.

Internal Medicine (Medical Oncology)

19 BRADHURST AVE, SUITE 2100
HAWTHORNE, NY 10532

Westchester County (914) 493-8375

DR. JOSEPH VOZZOLO M.D.

Internal Medicine (Cardiovascular Disease)

19 BRADHURST AVE, SUITE 700
HAWTHORNE, NY 10532

Westchester County (914) 337-3500

JOSE L MUNOZ MD

Pediatrics (Pediatric Infectious Diseases)

19 BRADHURST AVE, STE. 1400
HAWTHORNE, NY 10532

Westchester County (914) 493-8333

DR. SEI IWAI MD

Internal Medicine (Clinical Cardiac Electrophysiology)

19 BRADHURST AVE, SUITE 3850S
HAWTHORNE, NY 10532

Westchester County (914) 909-6900

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 Dmitry Samsonov's NPI number?

The NPI number for Dmitry Samsonov is 1356595862. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is Dmitry Samsonov located?

Dmitry Samsonov practices at 19 Bradhurst Ave Ste 1400, Hawthorne, NY 10532. The listed phone number is (914) 493-7583.

What is Dmitry Samsonov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Dmitry Samsonov enrolled in Medicare?

Yes. Dmitry Samsonov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dmitry Samsonov was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.