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DR. SAMUEL EDWARD FULLER MD NPI 1093730749


NPI Information

NPI: 1093730749
Provider Name: DR. SAMUEL EDWARD FULLER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1801 16TH ST
GREELEY, CO
ZIP 80631
Phone: (303) 761-9190
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DR. Samuel Edward Fuller, MD is a diagnostic radiology radiology in Greeley, CO with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Samuel Edward Fuller, MD NPI is 1093730749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1801 16TH ST
GREELEY, CO
ZIP 80631-154
Phone: (303) 761-9190
Fax: (720) 874-4462

The NPI 1093730749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan chest (HCPCS:71250)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan head or brain (HCPCS:70450)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 12/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyA72891CALIFORNIANo
22085R0202XRadiologyDiagnostic Radiology7318AWYOMINGNo
32085R0202XRadiologyDiagnostic Radiology23277NEBRASKANo
42085R0202XRadiologyDiagnostic Radiology04-41647KANSASNo
52085R0202XRadiologyDiagnostic RadiologyMD19873HAWAIINo
62085R0202XRadiologyDiagnostic Radiology43466COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KA3249113OTHERKANSASMEDICARE
2111257122OTHERKANSASMEDICARE
3650671OTHERCOLORADOMEDICARE
488153746MEDICAIDCOLORADO
5NA1214128OTHERNEBRASKAMEDICARE PTAN
6638284YQ33OTHERCOLORADOMEDICARE
7638284YQN9OTHERCOLORADOMEDICARE
8638284YQPGOTHERCOLORADOMEDICARE
9NA1215129OTHERNEBRASKAMEDICARE PTAN
10638284AE6YOTHERCOLORADOMEDICARE
11NA2517106OTHERNEBRASKAMEDICARE PTAN
12638284ZLJ3OTHERCOLORADOMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.