NPIMap

Individual provider Active NPI

Samantha Mary Dunham, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1124045802
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
228598 Issued in NY
Practice address
111 Broadway FL 4
New York, NY 10006-1978
Phone
(212) 263-9700
Fax
(212) 263-9701
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 228598 NY Primary

Addresses

Primary practice location

111 Broadway FL 4
New York, NY 10006-1978

Mailing address

111 Broadway FL 4
New York, NY 10006-1978
Phone (212) 263-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdunham7824@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000063 NY Practitioner - Obstetrics/Gynecology 5698748002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York University 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2006 Accepting new patients
New York University CurrentSince Jul 1, 2006 Accepting new patients
New York University Obstetrics & Gynecology Current Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Jul 1, 2006 Accepting new patients
Nyumc, Maternal Fetal Medicine Past Accepting new patients
New York University Medical Center Obstetrics & Gynecology PastSince Oct 1, 2010 Accepting new patients

Locations

530 1st Ave
#9R
New York, NY 10016
Phone (212) 263-0855

530 1st Ave
#7N
New York, NY 10016
Phone (212) 263-7021

111 Broadway
Fl 4
New York, NY 10006
Phone (212) 263-9700

159 E 53rd St
Fl 2
New York, NY 10022
Phone (646) 754-3300

160 E 34th St
Fl 4
New York, NY 10016
Phone (212) 731-5180

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1124045802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061978",
            "telephone_number": "212-263-9700",
            "fax_number": "212-263-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061978",
            "telephone_number": "212-263-9700",
            "fax_number": "212-263-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "SAMANTHA",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "228598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdunham7824@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "111 Broadway Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100061978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.