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

Dr. Samuel Kellner, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1386164077

Dr. Samuel Kellner, DPM is a Podiatry in Waterbury, Connecticut. Graduated from New York College of Podiatric Medicine in 2017, 9 years ago. Practices with Waterbury Podiatry Consultants, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Trained at
New York College of Podiatric Medicine
Licensed in
CT
In the registry since
2017
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

171 Grandview Ave Ste 104
Waterbury, CT 06708-2517
Phone: (203) 753-2048
Fax: (203) 753-5891
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 001121 (CT)

Record details

NPI number1386164077
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Waterbury Podiatry Consultants — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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