Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elvin Mathew Sam, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1548830623

Dr. Elvin Mathew Sam, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Manchester, Connecticut. Qualified in 2021, 5 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 171-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
5
Licensed in
CT, NY
In the registry since
2021
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

71 Haynes St
Manchester, CT 06040-4131
Phone: (860) 423-7558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 685847-01 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 009820 (CT)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence STUDENT (CT)

Record details

NPI number1548830623
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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