Individual provider Active NPI

Wilner Samson, MD

  • Internal Medicine Physician
  • Southington, CT
National Provider Identifier
1215934658
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041729 Issued in CT
Practice address
98 Main St
Southington, CT 06489-2500
Phone
(860) 276-5144
Fax
(860) 276-5148
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 041729 CT
Internal Medicine Physician 207R00000X 041729 CT Primary

Addresses

Primary practice location

98 Main St
Southington, CT 06489-2500

Mailing address

98 Main St
Southington, CT 06489-2500
Phone (860) 276-5144

Other identifiers 1

IdentifierTypeStateIssuer
1417296MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000906 CT Practitioner - Internal MedicinePractitioner - Nephrology 8729261748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

98 Main St
Suite 301
Southington, CT 06489-2500
Phone (860) 621-6704

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041729CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Internal Medicine CurrentSince Sep 13, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 30, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 30, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations (25 of 30)

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

650 Park Ave
Bridgeport, CT 06604

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

277 Main St
Hartford, CT 06106

150 Charter Oak Ave
Hartford, CT 06106
Phone (860) 827-7400

1229 Albany Ave
Hartford, CT 06112
Phone (860) 524-9820

590 Park St
Hartford, CT 06106
Phone (860) 709-6374

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

71 Chamberlain Hwy
Meriden, CT 06451

61 Hart St
New Britain, CT 06052
Phone (860) 224-5477

181 Patricia M Genova Dr
Newington, CT 06111
Phone (860) 667-5480

261 Main St
Norwich, CT 06360

120 Cliff St
Norwich, CT 06360

11 Stott Ave
Norwich, CT 06360

98 Main St
Southington, CT 06489
Phone (860) 276-3970

98 Main St
Ste 301
Southington, CT 06489
Phone (860) 621-6704

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

462 Queen St
Ste 301
Southington, CT 06489
Phone (860) 621-6704

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

160 Main St
Thomaston, CT 06787
Phone (860) 827-7400

789 Winsted Rd
Torrington, CT 06790

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

101 Litchfield St
Torrington, CT 06790

Interoperability endpoints

  • Direct secure messaging: wilner.samson@xdr.hhchealthdirect.org

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 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1215934658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892500",
            "telephone_number": "860-276-5144",
            "fax_number": "860-276-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892500",
            "telephone_number": "860-276-5144",
            "fax_number": "860-276-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "WILNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "041729",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417296",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.