SAMUEL EKRO INKUMSAH MD
NPI 1629242490
Family Medicine in Statesville, NC
About Samuel Ekro Inkumsah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL EKRO INKUMSAH MD (NPI 1629242490) is an individual family medicine provider in Statesville, North Carolina, licensed in North Carolina (2016-01712) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Windom Area Health, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Ekro Inkumsah 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.
Medicare Billing Reassignments
5Medicare enrollment records show Samuel Inkumsah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Statesville, NC 28625
- Reassigned Medicare billing, North Carolina enrollment
- 116 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 clinicians in this Medicare group
Windom, MN 56101
- Reassigned Medicare billing, Minnesota enrollment
- 49 clinicians in this Medicare group
Montevideo, MN 56265
- Reassigned Medicare billing, Minnesota enrollment
- 149 clinicians in this Medicare group
Perham, MN 56573
- Reassigned Medicare billing, Minnesota enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Windom Area Health
Critical Access Hospitals · Windom, MNIredell Memorial Hospital Inc
Acute Care Hospitals · Statesville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Inkumsah's NPI number?
The NPI number for Samuel Inkumsah is 1629242490. It was assigned to this individual provider in the NPPES registry on April 14, 2008.
Where is Samuel Inkumsah located?
Samuel Inkumsah practices at 1410 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 978-2250.
What is Samuel Inkumsah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel Inkumsah enrolled in Medicare?
Yes. Samuel Inkumsah 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.
Which organizations bill Medicare for Samuel Inkumsah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Inkumsah reassigns Medicare benefits to 5 organizations: Iredell Physician Network LLC (Statesville, NC), The Carolinas Emergency Group, PLLC (Dunn, NC), Windom Area Hospital (Windom, MN), Ccm Health (Montevideo, MN) and Perham Hospital District (Perham, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Inkumsah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Inkumsah accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Samuel Inkumsah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samuel Inkumsah affiliated with any hospitals?
According to CMS data, Samuel Inkumsah is affiliated with Windom Area Health and Iredell Memorial Hospital Inc.
When was this NPI record last updated?
The NPPES record for Samuel Inkumsah was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Samuel Ekro Inkumsah, MD · NPI 1629242490
Family Medicine physician in Statesville, North Carolina. Individual provider, active in the CMS NPPES registry since April 14, 2008.
## Identity
- **NPI:** 1629242490 (Entity type: Individual)
- **Enumerated:** April 14, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2016-01712 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1410 FERN CREEK DR, Statesville, NC 28625-9376
- **Phone:** (704) 978-2250 · **Fax:** (704) 878-7319
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Iredell Physician Network LLC (NPI 1326862848, Statesville, NC); The Carolinas Emergency Group, PLLC (NPI 1477508836, Dunn, NC); Windom Area Hospital (NPI 1841288644, Windom, MN); Ccm Health (NPI 1275057978, Montevideo, MN); Perham Hospital District (NPI 1457631814, Perham, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 11, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1629242490) · Data from the CMS NPPES public registry.