Active NPI
Sam D Schild, M.D.
- Pediatric Otolaryngology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 75331
- Practice address
- 330 Cedar Street
New Haven, CT 06510-8041 - Phone
- (203) 785-5430
- NPI assigned
- Apr 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD210001949 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Otolaryngology Physician | 207YP0228X | 75331 | CT | Primary |
Addresses
Primary practice location
330 Cedar Street
New Haven, CT 06510-8041
Mailing address
330 Cedar Street
PO Box 208041
New Haven, CT 06520-8041
Other practice location 1
111 Michigan Avenue NW
Division of Otolaryngology , Suite 3W-800
Washington, DC 20010
Phone (202) 476-3659
Other practice location 2
450 Clarkson Ave
Otolaryngology Department
Brooklyn, NY 11203-2012
Phone (718) 270-1638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (203) 785-4081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210001949 | DC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Otolaryngology | Current | Accepting new patients |
Locations
1 Long Wharf Dr
New Haven, CT 06511
Phone (203) 777-7500
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
330 Cedar St
New Haven, CT 06510
Phone (203) 785-2385
Interoperability endpoints
- sschild628921@direct.ynhh.org
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1124553136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CEDAR STREET",
"address_2": "PO BOX 208041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 CEDAR STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065108041",
"telephone_number": "203-785-5430"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Avenue NW",
"address_2": "Division of Otolaryngology , Suite 3W-800",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20010",
"country_code": "US",
"telephone_number": "202-476-3659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Clarkson Ave",
"address_2": "Otolaryngology Department",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHILD",
"first_name": "SAM",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-27",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "DC",
"license": "MD210001949",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CT",
"license": "75331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.