Active NPI
Samuel Streit, DO
- Family Medicine Physician
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 000322
- Practice address
- 110 Commerce Dr
Shelton, CT 06484-6244 - Phone
- (203) 929-7331
- Fax
- (203) 925-0330
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 000322 | CT | Primary |
Addresses
Primary practice location
110 Commerce Dr
Shelton, CT 06484-6244
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001003227 | Medicaid | CT |
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
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 308-2781
130 Division St
Derby, CT 06418-1326
Phone (203) 732-1352
144 Oxford Rd
Suite 1a
Oxford, CT 06478-1982
Phone (203) 888-5527
224 Leavenworth Rd
Shelton, CT 06484-1881
Phone (203) 926-1206
330 Bridgeport Ave
Shelton, CT 06484-3861
Phone (203) 929-7331
Hospital & facility affiliations
- Hartford Healthcare at Home
- Stratford Vna
- Elara Caring
- Griffin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000322 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Faculty Physicians, Inc. | Current | Accepting new patients | |
| The Griffin Hospital | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020
110 Commerce Dr
Shelton, CT 06484
Phone (203) 426-5554
Interoperability endpoints
- samuel.streit.1@1323.direct.athenahealth.com
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- Home Health Agency
- Rocky Hill, CT
- NPI 1255333597
-
- Home Health Agency
- Stratford, CT
- NPI 1336178276
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1952467672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MAPLE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181328",
"telephone_number": "203-732-1330",
"fax_number": "203-732-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COMMERCE DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846244",
"telephone_number": "203-929-7331",
"fax_number": "203-925-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREIT",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "000322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001003227",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.