Samuel Dzodzomenyo, MD
NPI 1407857063 · Pediatric Sleep Medicine Physician · Dayton, OH
Enrolled with Medicare as Practitioner - Sleep Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Dzodzomenyo, MD is a Pediatric Sleep Medicine Physician provider in Dayton, OH (NPI 1407857063).
Provider details
- NPI number
- 1407857063
- Entity type
- Individual
- Primary specialty
- Pediatric Sleep Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35.070439 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3535 Southern BlvdKettering, OH 45429-1221Phone: (937) 641-4000
- 3333 W Tech RdMiamisburg, OH 45342-0955Phone: (937) 641-4000Fax: (937) 641-6492
Registry dates
- Enumerated
- 2005-08-04
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Frequently asked questions
- What is Samuel Dzodzomenyo's NPI number?
- Samuel Dzodzomenyo's National Provider Identifier (NPI) is 1407857063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Dzodzomenyo's specialty?
- Samuel Dzodzomenyo is listed in the NPPES registry with a primary specialty of Pediatric Sleep Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Dzodzomenyo located?
- Samuel Dzodzomenyo's practice location on file with NPPES is 1 Childrens Plz, Dayton, OH 45404-1815.
- What is Samuel Dzodzomenyo's phone number?
- The practice phone number listed in the NPPES registry for Samuel Dzodzomenyo is (937) 641-4000.
- Does Samuel Dzodzomenyo accept Medicare?
- Samuel Dzodzomenyo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Dzodzomenyo's NPI active?
- Yes — Samuel Dzodzomenyo's NPI (1407857063) is active in the NPPES registry as of the last update on 2025-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.