AKUA AMPONSAH SAM (MD) – Internal Medicine Physician, NPI 1568454635

AKUA AMPONSAH SAM (MD) is a healthcare provider. based in Watertown, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036450 (CT). The NPI Number for AKUA AMPONSAH SAM (MD) is 1568454635

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
AKUA AMPONSAH SAM (MD)
NPI
1568454635
Phone
Not provided
Address
173 POND VIEW DR
Enumeration Date
16 August 2005
Last Update Date
3 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606497557
Graduation Year
1992 (34 years ago)
PAC ID
3577751395
Group Practice PAC ID
7416244496
Professional Enrollment ID
I20101221000627
Address ID
CT060404111MA18XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,447 INTERNAL MEDICINE in CT

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Provider Addresses for AKUA AMPONSAH SAM (MD)

  • 173, Pond View Drive, Watertown, Litchfield County, Connecticut, 06795, United States

    WATERTOWN, CT 067953152

    Phone:

    Type: Mailing

  • 80, Phoenix Avenue, Exchange Place, Waterbury, New Haven County, Connecticut, 06702, United States

    WATERBURY, CT 067021418

    Phone: (203) 756-8021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: PFIZER INC. ($46).

Total Amount

$112

General + Research + Ownership

Payments

5

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101221000627IInternal MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06795)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416244496View full group profile
NameSpecialtyState
N E P H R O L O G YMI
-CT
General SurgeryCT
Infectious Disease, Internal MedicineCT
Cardiovascular Disease (Cardiology)CT
-CT
-CT
Cardiovascular Disease (Cardiology)CT
Cardiovascular Disease (Cardiology)CT
Internal MedicineCT

Reviews

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Frequently asked questions

Where can patients find AKUA AMPONSAH SAM (MD)'s NPI?
You can confirm AKUA AMPONSAH SAM (MD) with NPI 1568454635; it appears in the national provider directory.
Is AKUA AMPONSAH SAM (MD)'s NPI currently valid?
The extract we use shows AKUA AMPONSAH SAM (MD) as active.
What does AKUA AMPONSAH SAM (MD) treat or focus on?
Patients typically see AKUA AMPONSAH SAM (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is AKUA AMPONSAH SAM (MD)'s primary listing?
We display Watertown, Connecticut because that is what the record indicates for AKUA AMPONSAH SAM (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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