Active NPI
Bensson Varghese Samuel, M.D,
- Internal Medicine Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 79726
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT202650 | PA | |
| Internal Medicine Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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 Inc
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
- Marshfield Medical Center - Weston
- Marshfield Medical Center - Rice Lake
- McLaren Bay Region
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01098983A | IN | MD | Emergency Medicine Physician |
| MT202650 | PA | MD | Internal Medicine Physician |
| 4301108064 | MI | MD | Neurocritical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Dam Community Hospitals Inc | Single Specialty | Current | Accepting new patients |
| McLaren Hospital Group | Single Specialty | Current | Accepting new patients |
| Lawton Indian Hospital | Single Specialty | Current | Accepting new patients |
| Marshfield Clinic Inc | Single Specialty | Current | Accepting new patients |
| MCHS Hospitals Inc | Single Specialty | Current | Accepting new patients |
| North State Hospitalist Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Pinehurst Hospitalist Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Hospital Medicine Services of Colorado, LLC | Single Specialty | Current | Accepting new patients |
| Memorial Hospital Inc | Single Specialty | Current | Accepting new patients |
| MCHS Hospitals Inc | Single Specialty | Current | Accepting new patients |
| Hospitalist Group of Montebello Inc | Single Specialty | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Single Specialty | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Single Specialty | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Single Specialty | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| McLaren Medical Group | Single Specialty | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Single Specialty | Current | Accepting new patients |
| Samuelson Enterprises, PLLC | Emergency Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Single Specialty | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Michigan, PLLC | Single Specialty | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Southern California, P.C. | Single Specialty | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| McLaren Medical Group | Single Specialty | Current | Accepting new patients |
| Flambeau Hospital Inc | Single Specialty | Current | Accepting new patients |
| Mymichigan Medical Center Sault | Single Specialty | Current | Accepting new patients |
| VHS Physicians of Michigan | Single Specialty | Current | 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
- bsamuel148442@mymichiganhealth.midirect.net
- 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.
-
- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Single Specialty
-
- Hospitalist Physician
- Denver, CO
- NPI 1366242323
Single Specialty
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
Single Specialty
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
Single Specialty
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Rice Lake, WI
- NPI 1154415024
-
- General Acute Care Hospital
- Weston, WI
- NPI 1902437650
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1952809816
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
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",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-688-1734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-688-1734"
}
],
"practiceLocations": [
{
"address_1": "3990 John R St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012018",
"country_code": "US",
"telephone_number": "313-745-8040",
"fax_number": "313-966-0070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016118",
"country_code": "US",
"telephone_number": "715-858-4610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1451 N Gardner St",
"address_purpose": "LOCATION",
"city": "Scottsburg",
"state": "IN",
"postal_code": "471707751",
"country_code": "US",
"telephone_number": "812-752-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Michigan Ave",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "469471528",
"country_code": "US",
"telephone_number": "574-753-7541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 N Lincoln St",
"address_purpose": "LOCATION",
"city": "Greensburg",
"state": "IN",
"postal_code": "472401327",
"country_code": "US",
"telephone_number": "812-663-4331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Saint Antoine St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-3000",
"fax_number": "313-937-0773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 Ashmun St Unit 5",
"address_purpose": "LOCATION",
"city": "Sault Sainte Marie",
"state": "MI",
"postal_code": "497831936",
"country_code": "US",
"telephone_number": "906-291-1160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Ostrum St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180151000",
"country_code": "US",
"telephone_number": "484-526-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"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",
"city": "Eau Claire",
"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"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT202650",
"primary": false
},
{
"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
},
{
"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",
"postal_code": "497831936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.