DR. SAMUEL W. MIETLING M.D. NPI 1750347589

NPI Information

  • NPI: 1750347589
  • Provider Name: DR. SAMUEL W. MIETLING, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2416 DUNN AVENUE
    JACKSONVILLE, FL
    ZIP 32218
  • Phone: (904) 353-3664

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NPI Details

DR. Samuel W. Mietling, M.D. is a vascular and interventional radiology radiology in Jacksonville, FL with 41 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Samuel W. Mietling, M.D. NPI is 1750347589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

2416 DUNN AVENUE
JACKSONVILLE, FL
ZIP 32218-015
Phone: (904) 353-3664
Fax: (904) 353-3858

The NPI 1750347589 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.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)
  • Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment (HCPCS:37187)

The enumeration date for this NPI number is 4/21/2006 and was last updated on 11/18/2025.

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
12085N0700XRadiologyNeuroradiology051686GEORGIANo
22085R0202XRadiologyDiagnostic Radiology051686GEORGIANo
32085U0001XRadiologyDiagnostic Ultrasound051686GEORGIANo
42085R0204XRadiologyVascular & Interventional Radiology051686GEORGIAYes
52085R0204XRadiologyVascular & Interventional RadiologyME49311FLORIDANo
62085N0904XRadiologyNuclear Radiology051686GEORGIANo
72085D0003XRadiologyDiagnostic Neuroimaging051686GEORGIANo
82085B0100XRadiologyBody Imaging051686GEORGIANo
92085R0202XRadiologyDiagnostic RadiologyME49311FLORIDANo
102085P0229XRadiologyPediatric Radiology051686GEORGIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100952795CMEDICAIDGEORGIA
200952795AMEDICAIDGEORGIA
300952795BMEDICAIDGEORGIA
41346357217OTHERNPI - VASCULAR RADIOLOGY
583555OTHERSOUTH CAROLINASC MEDICAL LICENSE
6G51686MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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