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RANDALL B SAM ANP
NPI 1487683769
Nurse Practitioner - Adult Health in Dunkirk, NY

Active since June 30, 2006PECOS Enrolled
520 CENTRAL AVE # VD, DUNKIRK, NY 14048(716) 710-8266 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall B Sam Anp NPPES

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

RANDALL B SAM ANP (NPI 1487683769) is an individual adult health provider in Dunkirk, New York, licensed in New York (F303144) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487683769
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameRANDALL B SAMCredential: ANP
Location Address520 CENTRAL AVE # VDDunkirk, NY 14048-2515
Mailing Address520 Central Ave # VdDunkirk, NY 14048-2515 · (716) 710-8266
Phone(716) 710-8266
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1487683769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F303144
520 CENTRAL AVE # VD, Dunkirk, NY 14048
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Other Identifiers 1

Medicaid223765NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall B Sam Anp 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 14048 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Randall Sam's NPI number?

The NPI number for Randall Sam is 1487683769. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Randall Sam located?

Randall Sam practices at 520 Central Ave # Vd, Dunkirk, NY 14048. The listed phone number is (716) 710-8266.

What is Randall Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Randall Sam enrolled in Medicare?

Yes. Randall Sam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Sam was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.