Individual provider Active NPI

Bensson Varghese Samuel, M.D,

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1710240403
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79726 Issued in CT
Practice address
267 Grant St
Bridgeport, CT 06610-2805
Phone
(203) 688-1734
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT202650 PA
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 79726 CT Primary
Emergency Medicine Physician 207P00000X 01098983A IN
Internal Medicine Physician 207R00000X 4301108064 MI
Neurocritical Care Physician 2084A2900X 4301108064 MI
Emergency Medicine Physician 207P00000X 2306 WI

Addresses

Primary practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 688-1734

Other practice location 1

3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040

Other practice location 2

2116 Craig Rd
Eau Claire, WI 54701-6118
Phone (715) 858-4610

Other practice location 3

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-3456

Other practice location 4

1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541

Other practice location 5

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

Other practice location 6

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000

Other practice location 7

545 Ashmun St Unit 5
Sault Sainte Marie, MI 49783-1936
Phone (906) 291-1160

Other practice location 8

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000

Other practice location 9

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000 ext. 31000

Other practice location 10

Marshfield Clinic Eau Claire Center
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com
Other URL www.sepllc.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, WI, CT, TX, CO, IN7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20150717001563 MI Practitioner - Internal Medicine 5991018053 Reassigns benefits to 5 organizations
I20240722000875 CA Practitioner - Internal MedicinePractitioner - Hospitalist 5991018053 Reassigns benefits to 4 organizations
I20241028001478 WI Practitioner - Emergency Medicine 5991018053 Reassigns benefits to 9 organizations
I20250213001284 CT Practitioner - Internal MedicinePractitioner - Hospitalist 5991018053 Reassigns benefits to 1 organization
I20250416000718 TX Practitioner - Emergency Medicine 5991018053 Reassigns benefits to 1 organization
I20250804002095 CO Practitioner - Internal MedicinePractitioner - Pathology 5991018053 Reassigns benefits to 1 organization
I20260401002385 IN Practitioner - Emergency Medicine 5991018053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Indiana Emergency Professionals PCGroup PAC ID 2365622578, 17 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

Hospital & facility affiliations

  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
  • Marshfield Medical Center - Weston Hospital, Weston, WI, CCN 520202
  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01098983AINMDEmergency Medicine Physician
MT202650PAMDInternal Medicine Physician
4301108064MIMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Dam Community Hospitals Inc Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
McLaren Hospital Group Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Lawton Indian Hospital Single Specialty CurrentSince Apr 4, 2025 Accepting new patients
Marshfield Clinic Inc Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
MCHS Hospitals Inc Single Specialty Current Accepting new patients
North State Hospitalist Medical Group, Inc Single Specialty CurrentSince Jul 11, 2024 Accepting new patients
Pinehurst Hospitalist Medical Group, Inc. Single Specialty CurrentSince Sep 11, 2024 Accepting new patients
Hospital Medicine Services of Colorado, LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Memorial Hospital Inc Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
MCHS Hospitals Inc Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
Hospitalist Group of Montebello Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Single Specialty Current Accepting new patients
Mill Hill Medical Consultants Inc Single Specialty CurrentSince Feb 6, 2025 Accepting new patients
Northeast Medical Group, Inc. Single Specialty CurrentSince Feb 6, 2025 Accepting new patients
McLaren Medical Group Single Specialty CurrentSince Jul 4, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 24, 2024 Accepting new patients
Flambeau Hospital Inc Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
Samuelson Enterprises, PLLC Emergency Medicine CurrentSince Nov 3, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Nov 2, 2024 Accepting new patients
Inpatient Specialists of California, PC Single Specialty CurrentSince Mar 12, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Single Specialty CurrentSince Jan 1, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Southern California, P.C. Single Specialty CurrentSince Apr 17, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 24, 2024 Accepting new patients
McLaren Medical Group Single Specialty CurrentSince Jul 4, 2025 Accepting new patients
Flambeau Hospital Inc Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
Mymichigan Medical Center Sault Single Specialty Current Accepting new patients
VHS Physicians of Michigan Single Specialty CurrentSince Mar 15, 2019 Accepting new patients
McLaren Medical Group Internal Medicine Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
McLaren Greater Lansing Single Specialty Past Accepting new patients

Locations (25 of 47)

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

5701 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-3376

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

6900 E Saginaw Hwy
Ste 100
Grand Ledge, MI 48837
Phone (517) 975-1100

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

Interoperability endpoints

  • Direct secure messaging: bsamuel148442@mymichiganhealth.midirect.net
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 4

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1710240403",
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            "fax_number": "313-966-0070",
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            "country_name": "United States",
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            "address_1": "1451 N Gardner St",
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            "state": "IN",
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            "fax_number": "313-937-0773",
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            "state": "MI",
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            "telephone_number": "906-291-1160",
            "country_name": "United States",
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            "telephone_number": "484-526-4000",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765220",
            "country_code": "US",
            "telephone_number": "715-393-1000 x31000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Marshfield Clinic Eau Claire Center",
            "address_2": "2116 Craig Rd",
            "address_purpose": "LOCATION",
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            "state": "WI",
            "postal_code": "54701",
            "country_code": "US",
            "telephone_number": "715-858-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "BENSSON",
        "middle_name": "VARGHESE",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
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    "taxonomies": [
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            "taxonomy_group": "",
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            "license": "MT202650",
            "primary": false
        },
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            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "79726",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01098983A",
            "primary": false
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        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301108064",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "MI",
            "license": "4301108064",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "2306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2116 Craig Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sepllc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "drsam@sepllc.org",
            "address_1": "545 Ashmun St Unit 5",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.