Samuel Boderman
NPI 1619506334ActiveIndividual· Internal Medicine· Madison, WI
Internal Medicine in Madison, Wisconsin, trained at New York Medical College (class of 2020). Enrolled in Medicare as practitioner - hospitalist.
Overview
| NPI | 1619506334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 4, 2020 |
| Last updated in NPPES | Nov 16, 2022 |
| Certified by provider | Nov 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 77526-20 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (MN) |
|---|
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 417 internal medicine physicians in Madison · All internal medicine physicians in Wisconsin