MR. DERICK NGUFOR SAMAFUHBI (PA-C) – Physician Assistant, NPI 1770972184

MR. DERICK NGUFOR SAMAFUHBI (PA-C) is a healthcare provider. based in Williamsburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2321 (ME). The NPI Number for MR. DERICK NGUFOR SAMAFUHBI (PA-C) is 1770972184

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. DERICK NGUFOR SAMAFUHBI (PA-C)
NPI
1770972184
Phone
(757) 345-4300
Address
400 Sentara Cir Ste 320
Enumeration Date
22 January 2015
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7745526000
Graduation Year
2012 (14 years ago)
PAC ID
1759697360
Group Practice PAC ID
9638326671
Professional Enrollment ID
I20200813000300
Address ID
MA026015230HY27XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:11State licenses:5Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MR. DERICK NGUFOR SAMAFUHBI (PA-C)

  • 400 Sentara Cir Ste 320

    Williamsburg, VA 231885716

    Phone: (757) 345-4300

    Fax: (757) 510-9190

    Type: Location

  • 1 Medical Center Dr

    Biddeford, ME 040059422

    Phone: (207) 283-7937

    Fax: (207) 283-7018

    Type: Location

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (207) 662-4618

    Fax: (207) 662-6254

    Type: Location

  • 25 June St

    Sanford, ME 040732621

    Phone: (207) 324-4310

    Type: Location

  • PO BOX 1215

    ATTN CLINIC BILLING OFFICE

    LIBERAL, KS 679051215

    Phone: (620) 629-6638

    Fax: (620) 629-6684

    Type: Mailing

  • 315 W 15TH ST

    LIBERAL, KS 679012455

    Phone: (620) 629-6477

    Fax: (620) 629-6651

    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: 2022-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

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
I20150827001186IPhysician AssistantDCTBD
I20160414001655IPhysician AssistantKSTBD
I20171005002382IPhysician AssistantVATBD
I20190822003079IPhysician AssistantMDTBD
I20200224002160IPhysician AssistantGATBD
I20200403002531IPhysician AssistantNYTBD
I20200424000232IPhysician AssistantNDTBD
I20200813000300IPhysician AssistantMATBD
I20220705002043IPhysician AssistantMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes177104$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8548$0
99239Hospital discharge day management, more than 30 minutes7575$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4646$0
99238Hospital discharge day management, 30 minutes or less3333$0
View full utilization report →

Insurance plans in this area (ZIP 23188)

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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: 9638326671View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMA
Hospitalist, Cardiovascular Disease (Cardiology), Hospitalist, Internal MedicineNY
Diagnostic RadiologyNH
-NH
Diagnostic RadiologyOK
Physician AssistantMA
Internal MedicineMA
Radiation Oncology, Hematology/OncologyOH
Nephrology, Internal MedicineMA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. DERICK NGUFOR SAMAFUHBI (PA-C)?
NPI 1770972184 is assigned to MR. DERICK NGUFOR SAMAFUHBI (PA-C) under the national enumeration system.
Is MR. DERICK NGUFOR SAMAFUHBI (PA-C) active in the national directory?
MR. DERICK NGUFOR SAMAFUHBI (PA-C)'s public NPI profile is in an active state.
Does MR. DERICK NGUFOR SAMAFUHBI (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. DERICK NGUFOR SAMAFUHBI (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MR. DERICK NGUFOR SAMAFUHBI (PA-C)?
The snapshot lists Williamsburg, Virginia for MR. DERICK NGUFOR SAMAFUHBI (PA-C); download NPPES for the complete set.
What if Williamsburg, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.