DR. SAMANTHA LYNN AHLE (M.D.) – Pediatric Surgery Physician, NPI 1649682956
Pediatric Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
414 PEDIATRIC MEDICINE in CT
Provider Addresses for DR. SAMANTHA LYNN AHLE (M.D.)
330 CEDAR ST
NEW HAVEN, CT 065103218
Phone: (203) 785-7890
Type: Mailing
20 YORK ST
NEW HAVEN, CT 065103220
Phone: (203) 688-4242
Type: Location
PO BOX 16149
RUMFORD, RI 029160697
Phone: (401) 453-9625
Fax: (401) 435-7069
Type: Mailing
2 DUDLEY ST STE 190
PROVIDENCE, RI 029053248
Phone: (401) 421-1939
Fax: (401) 868-2319
Type: Location
225 E CHICAGO AVE # 63
CHICAGO, IL 606112991
Phone: (473) 431-2227
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230808002766 | I | Pediatric Medicine | RI | TBD |
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.
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 06510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| - | RI | |
| Internal Medicine | RI | |
| Internal Medicine | RI | |
| - | RI | |
| Internal Medicine | RI | |
| P S Y C H I A T R Y | MI | |
| - | RI | |
| - | RI | |
| P S Y C H I A T R Y | RI |
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