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SAMUEL M ROH
NPI 1528699121
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since February 01, 2020PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06032(860) 679-2000 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2020, May 26, 2020, Feb 1, 2020 (3 updates tracked since 2020).

About Samuel M Roh NPPES

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

SAMUEL M ROH (NPI 1528699121) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (12884) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528699121
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL M ROH
Location Address263 FARMINGTON AVEFarmington, CT 06032-1956
Mailing Address115 Edgewood Ave Apt 70New Haven, CT 06511-4585 · (203) 815-0669
Phone(860) 679-2000
Sole ProprietorNo
Enumeration DateFebruary 1, 2020
Last NPPES UpdateAugust 10, 20203 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1528699121 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
License✔ Licensed in CT · 12884
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.
263 FARMINGTON AVE, Farmington, CT 06032
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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)

Samuel M Roh 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.

COREY RYAN DWYER
Orthopaedic Surgery (Sports Medicine)
263 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-6600
DR. DAVID K. BOWERS MD
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-4477
DR. GRETHEL MILLINGTON DMD
Dentist (Prosthodontics)
263 FARMINGTON AVE, DEPARTMENT OF PROSTHODONTICS
FARMINGTON, CT 06032
Capitol Planning Region (869) 679-7600
DR. ADAM HOWARD FISCHLER M.D.
Anesthesiology
263 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-2000
DR. MARLA J CAMPBELL PHARMD
Pharmacist (Pharmacotherapy)
263 FARMINGTON AVE, DOWLING SOUTH, SUITE 200
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-2041
KAREEM DOUGLAS
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-2000
DIANNE M MURPHY CRNA
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-2000
DAVID M OZIMEK MD
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-4477

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 Samuel Roh's NPI number?

The NPI number for Samuel Roh is 1528699121. It was assigned to this individual provider in the NPPES registry on February 1, 2020.

Where is Samuel Roh located?

Samuel Roh practices at 263 Farmington Ave, Farmington, CT 06032. The listed phone number is (860) 679-2000.

What is Samuel Roh's specialty?

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

Is Samuel Roh enrolled in Medicare?

Yes. Samuel Roh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Roh was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.