Active NPI
Samuel Joseph Scruggs, MD
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Groton, CT
National Provider Identifier
1962269621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 0101286719
- Practice address
- 1 Wahoo Ave BLDG 449
Groton, CT 06349-2324 - Phone
- (860) 694-3743
- NPI assigned
- Feb 29, 2024
- 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 |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 0101286719 | VA | Primary |
Addresses
Primary practice location
1 Wahoo Ave BLDG 449
Groton, CT 06349-2324
Mailing address
1 Wahoo Ave BLDG 449
Groton, CT 06349-2324
Phone (860) 694-3743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101286719 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1962269621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WAHOO AVE BLDG 449",
"city": "GROTON",
"state": "CT",
"postal_code": "063492324",
"telephone_number": "860-694-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WAHOO AVE BLDG 449",
"city": "GROTON",
"state": "CT",
"postal_code": "063492324",
"telephone_number": "860-694-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "SAMUEL",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-29",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "VA",
"license": "0101286719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
- Michael A Schrempf, MD
- Karl Frederick Schriever
- Sandra Marie Schulze, M.S.CCC-SLP
- Richard Roy Schwab, DDS
- Janice Anne Scott, PTA
- Seacoast Orthopedic Surgery & Sports Medicine LLC
- Paul David Seeman, MD
- Kerry Grillo Seltzer, PT
- Serenity Behavioral Health and Integrative Medicine
- Serenity Behavioral Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.