Individual provider Active NPI

Samuel Frimpong, MD, MPH

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1972919603
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
PHC 23 Issued in FL
Practice address
1150 45TH St
West Palm Beach, FL 33407
Phone
(561) 514-5300
Fax
(561) 514-5538
NPI assigned
Jul 2, 2014
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 PHC 23 FL
Public Health & General Preventive Medicine Physician 2083P0901X PHC 23 FL
General Practice Physician 208D00000X PHC 23 FL Primary

Addresses

Primary practice location

1150 45TH St
West Palm Beach, FL 33407

Mailing address

800 Clematis St Ste 5-531
West Palm Beach, FL 33401-5107
Phone (561) 671-4043

Other identifiers 2

IdentifierTypeStateIssuer
012416300MedicaidFL
HW039ZOtherFLPROVIDER TRANSACTION ACCESS NUMBER FOR MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000608 CT Practitioner - Internal MedicinePractitioner - General Practice 0547488306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care and Behavioral Health ServicesGroup PAC ID 8628458213, 2 clinicians

Practice addresses (Care Compare)

2880 Old Dixwell Ave
Suite 200
Hamden, CT 06518-3144
Phone (203) 848-1803

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PHC 23FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and Behavioral Health Services Internal Medicine CurrentSince Apr 8, 2024 Accepting new patients

Locations

2880 Old Dixwell Ave
Ste 200
Hamden, CT 06518

98 Elm St
West Haven, CT 06516
Phone (203) 933-6974

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1972919603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLEMATIS ST STE 5-531",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015107",
            "telephone_number": "561-671-4043",
            "fax_number": "561-837-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-514-5300",
            "fax_number": "561-514-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIMPONG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PHC 23",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "PHC 23",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "PHC 23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012416300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER FOR MEDICARE",
            "identifier": "HW039Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.