DR. SAMUEL KWAMI DZODZOMENYO MD
NPI 1407857063
Pediatrics - Sleep Medicine in Dayton, OH

NPI Status: Active since August 04, 2005

Contact Information

1 CHILDRENS PLZ
DAYTON, OH
ZIP 45404
Phone: (937) 641-4000
Fax: (937) 641-4500

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  • Individual
  • Male
  • Pediatrics
  • Sleep Medicine
  • Accepts Insurance
  • PECOS Enrolled

About SAMUEL DZODZOMENYO

This page provides the complete NPI Profile along with additional information for Samuel Dzodzomenyo, a pediatrician established in Dayton, Ohio with a medical specialization in Pediatrics, focusing in sleep medicine . The healthcare provider is registered in the NPI registry with number 1407857063 assigned on August 2005. The practitioner's primary taxonomy code is 2080S0012X with license number 35.070439 (OH). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1407857063
Provider Name
DR. SAMUEL KWAMI DZODZOMENYO MD
Gender
Male
Entity Type
Individual
Location Address
1 CHILDRENS PLZ DAYTON, OH 45404
Location Phone
(937) 641-4000
Location Fax
(937) 641-4500
Mailing Address
PO BOX 933432 CLEVELAND, OH 44193
Mailing Phone
(937) 641-5072
Mailing Fax
(937) 641-4500
Is Sole Proprietor?
No
Enumeration Date
08-04-2005
Last Update Date
11-11-2025
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A pediatrician like Samuel Dzodzomenyo is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 3535 Southern Blvd
    Kettering, OH 45429
    (937) 641-4000
  • 3333 W Tech Rd
    Miamisburg, OH 45342
    (937) 641-4000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Sleep Medicine

Taxonomy Code
2080S0012X
Type
Allopathic & Osteopathic Physicians
License No.
35.070439
License State
OH
Taxonomy Description
A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

35070439 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 5500 for HSA - HMO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
64086143MEDICAID (05)KY 
0249270MEDICAID (05)OH 

Medicare Participation & PECOS Enrollment Status

Samuel Dzodzomenyo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    3 DME suppliers used 32 Medicare Claims 32 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    6 DME suppliers used 63 Medicare Claims 63 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    5 DME suppliers used 56 Medicare Claims 119 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    6 DME suppliers used 45 Medicare Claims 221 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    7 DME suppliers used 37 Medicare Claims 189 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    9 DME suppliers used 90 Medicare Claims 90 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    11 DME suppliers used 95 Medicare Claims 95 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    10 DME suppliers used 111 Medicare Claims 111 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    10 DME suppliers used 147 Medicare Claims 877 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    7 DME suppliers used 59 Medicare Claims 59 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    9 DME suppliers used 68 Medicare Claims 68 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45404 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. SAMUEL KWAMI DZODZOMENYO MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407857063, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 6 + 5 + 1 + 4 + 0 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1407857063.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Cardiology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS PLZ
DAYTON, OH 45404
Anesthesiology
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Orthopaedic Surgery
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Pediatric Pulmonology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Neurological Surgery
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Pediatric Nephrology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Psychologist (Clinical Child & Adolescent)
1 CHILDRENS PLZ
DAYTON, OH 45404
Psychologist (Clinical Child & Adolescent)
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Neonatal-Perinatal Medicine)
1 CHILDRENS PLZ, RM 4085
DAYTON, OH 45404
Pediatrics (Neonatal-Perinatal Medicine)
1 CHILDRENS PLZ, RM 4085
DAYTON, OH 45404
Psychologist (School)
1 CHILDRENS PLZ
DAYTON, OH 45404
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Psychologist (Clinical Child & Adolescent)
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Pediatric Endocrinology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Registered Nurse (Pediatric Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Emergency Medicine (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407857063, enumerated as an "individual" on August 04, 2005.

The provider is located at 1 CHILDRENS PLZ DAYTON, OH 45404 and the phone number is (937) 641-4000.

Pediatrics with taxonomy code 2080S0012X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.