Individual provider Active NPI

Stella Ofori-Sampong, M.D.

  • Hospitalist Physician
  • Appleton, WI
National Provider Identifier
1275064834
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
73024 Issued in WI
Practice address
1818 N Meade St
Appleton, WI 54911-3454
Phone
(920) 735-7645
NPI assigned
Mar 24, 2017
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.136807 OH
Internal Medicine Physician 207R00000X 73024-20 WI
Hospitalist Physician 208M00000X 73024 WI Primary

Addresses

Primary practice location

1818 N Meade St
Appleton, WI 54911-3454

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 735-7645

Other practice location 1

801 Braxton Pl
Madison, WI 53715-1415
Phone (608) 260-2700

Other practice location 2

128 E Apple St
2nd Floor
Dayton, OH 45409-2902
Phone (937) 208-2004

Other practice location 3

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address soforisampong343979@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200923000766 WI Practitioner - Hospitalist 9537431911 Reassigns benefits to 7 organizations
I20210105002166 OH Practitioner - Internal Medicine 9537431911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 496-4700

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700

2793 Lineville Rd
Green Bay, WI 54313-7152
Phone (920) 496-4700

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300

3803 Spring St
Mount Pleasant, WI 53405-1660
Phone (262) 687-8260

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73024-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince May 1, 2024 Accepting new patients
Mvhe, Inc Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Feb 1, 2022 Accepting new patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Feb 1, 2022 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Internal Medicine Current Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince May 1, 2024 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Dec 25, 2023 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jun 14, 2024 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 1, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jun 14, 2024 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Feb 1, 2022 Accepting new patients
St. Clare Memorial Hospital, Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

3170 Kettering Blvd
Fl 3
Moraine, OH 45439

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: soforisampong343979@ewd.direct.hshs.org

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 11

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1275064834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-735-7645",
            "fax_number": "920-735-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-735-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Braxton Pl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151415",
            "country_code": "US",
            "telephone_number": "608-260-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 E Apple St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092902",
            "country_code": "US",
            "telephone_number": "937-208-2004",
            "fax_number": "937-208-8828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Spring St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534051667",
            "country_code": "US",
            "telephone_number": "262-687-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFORI-SAMPONG",
        "first_name": "STELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.136807",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "73024-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "73024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soforisampong343979@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.