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SAMUEL BORGEMENKE DO
NPI 1609716810
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since March 30, 2026PECOS Enrolled
405 W GRAND AVE, DAYTON, OH 45405(937) 723-3248 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Samuel Borgemenke Do NPPES

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

SAMUEL BORGEMENKE DO (NPI 1609716810) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609716810
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL BORGEMENKECredential: DO
Location Address405 W GRAND AVEDayton, OH 45405-7538
Mailing Address405 W Grand AveDayton, OH 45405-7538 · (937) 723-3248
Phone(937) 723-3248
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1609716810 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
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.
405 W GRAND AVE, Dayton, OH 45405
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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 Borgemenke Do 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.

LARA MARTINEZ
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3245
MELISSA BRANDFASS PT
Physical Therapist
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (412) 576-0380
ANDREW JORDAN KRISTUFEK DO
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
DR. JASON DWIGHT MCINTOSH D.O.
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
WHITNEY J CRYE D.O.
Obstetrics & Gynecology
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3567
SARAH BLESCH
Nurse Anesthetist, Certified Registered
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3200
ALEXANDRA D BREZOVEC
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
RONALD TRAN DO
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3200

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 Borgemenke's NPI number?

The NPI number for Samuel Borgemenke is 1609716810. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Samuel Borgemenke located?

Samuel Borgemenke practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3248.

What is Samuel Borgemenke'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 Borgemenke enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Borgemenke was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.