DR. SAMPSON KWABINA BOHAM (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1225529654
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 PATHOLOGY in IN
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Provider Addresses for DR. SAMPSON KWABINA BOHAM (DO)
IU Health Pathology Laboratory, 350, West 11th Street, Fayette Street Conservation Area, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 46202
Phone: (317) 274-2476
Type: Location
430 E DIVISION ST
FOND DU LAC, WI 549354597
Phone: (920) 926-5800
Type: Location
620 W Brown St
Waupun, WI 539631799
Phone: (920) 926-5800
Type: Location
845 Parkside St
Ripon, WI 549718505
Phone: (920) 926-5800
Type: Location
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: 2023-08-17
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 |
|---|---|---|---|---|
| I20230817002628 | I | Pathology | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 198 | 106 | $0 |
| 84165 | Protein measurement, serum | 32 | 28 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 28 | 12 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 26 | 24 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 24 | 19 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | MO | |
| - | WI | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | WI |
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