DR. SAMUEL PENNELLA MD NPI 1124524038

NPI Information

  • NPI: 1124524038
  • Provider Name: DR. SAMUEL PENNELLA, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1905 N SHERMAN ST STE 200
    DENVER, CO
    ZIP 80203
  • Phone: (908) 208-8926

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NPI Details

DR. Samuel Pennella, MD is a general practice in Denver, CO with 11 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Samuel Pennella, MD NPI is 1124524038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1905 N SHERMAN ST STE 200
DENVER, CO
ZIP 80203-132
Phone: (908) 208-8926

The NPI 1124524038 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.

  • Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes (HCPCS:99422)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)

The enumeration date for this NPI number is 4/2/2018 and was last updated on 11/21/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeTW00059KANSASNo
2208D00000XGeneral Practice68449MINNESOTANo
3208D00000XGeneral Practice4301510893MICHIGANNo
4208D00000XGeneral PracticeTPME2986FLORIDANo
5208D00000XGeneral PracticeDR.0074417COLORADOYes

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: 3/30/2025

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