SAMANTHA PISANI PETRUCCI MD, PHD
NPI 1528596731
Radiology - Neuroradiology in Minneapolis, MN

NPI Status: Active since June 01, 2017

Contact Information

420 DELAWARE STREET SE
MMC 195
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-6483

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  • Individual
  • Female
  • Years of Experience 9
  • Radiology
  • Neuroradiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMANTHA PISANI PETRUCCI

This page provides the complete NPI Profile along with additional information for Samantha Pisani Petrucci, a provider established in Minneapolis, Minnesota with a medical specialization in Radiology, focusing in neuroradiology and more than 9 years of experience. She graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2017. The healthcare provider is registered in the NPI registry with number 1528596731 assigned on June 2017. The practitioner's primary taxonomy code is 2085N0700X with license number DR.0070990 (CO). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1528596731
Provider Name
SAMANTHA PISANI PETRUCCI MD, PHD
Other Name
SAMANTHA PISANI
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
420 DELAWARE STREET SE MMC 195 MINNEAPOLIS, MN 55455
Location Phone
(612) 625-6483
Mailing Address
PO BOX 110429 AURORA, CO 80042
Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
06-01-2017
Last Update Date
08-28-2023
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Location Map

Secondary Locations

  • 12605 E 16th Ave
    Aurora, CO 80045
    (720) 848-0000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Neuroradiology

Taxonomy Code
2085N0700X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0070990
License State
CO
Taxonomy Description
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

DR.0070990 (CO)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • ACCESS BRONZE HDHP - PPO
  • ACCESS GOLD - PPO
  • ACCESS GOLD HDHP - PPO
  • ACCESS SILVER - PPO
  • ACCESS SILVER HDHP - PPO
  • Plus Bronze HDHP - PPO
  • Plus Gold HDHP - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Samantha Pisani Petrucci is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Samantha Pisani Petrucci is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981978558

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230905000138

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SAMANTHA PISANI PETRUCCI MD, PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528596731
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481091276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 0 + 9 + 1 + 2 + 7 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1528596731 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699864611 HEATHER A THOMPSON BUUM MD
Individual
Internal Medicine420 DELAWARE STREET SE UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
(612) 884-0999
1811087323DR. ANTHONY A KILLEEN MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)420 DELAWARE STREET SE 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN 55455
(612) 625-5443
1740361237 MICHAEL WILLIAMS STEFFES MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)420 DELAWARE STREET SE ROOM 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN 55455
(612) 626-0622
1871717470 MEGAN CLINTON M.D.
Individual
Anesthesiology420 DELAWARE STREET SE B515 MAYO MEMORIAL BUILDING, MMC 294
MINNEAPOLIS, MN 55455
(612) 624-9990
1326213448UNIVERSITY OF MINNESOTA
Organization
General Acute Care Hospital420 DELAWARE STREET SE MAYO MAIL CODE 293
MINNEAPOLIS, MN 55455
(612) 625-7634
1083931943DR. REBECCA JANE MITCHARD M.D.
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 284 14-100 PHILLIPS-WANGENSTEEN BLDG
MINNEAPOLIS, MN 55455
(612) 625-7634
1083031439NEUROLOGY LTD.
Organization
Clinical Medical Laboratory420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
(612) 625-1431
1427582386 ROBERT WU M.D.
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE PHILLIPS-WANGENSTEEN BUILDING 11-145E, MMC195
MINNEAPOLIS, MN 55455
(612) 301-9433
1659868594 RONEE E HARVEY
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 284
MINNEAPOLIS, MN 55455
(612) 626-5454
1548759137 MICHELLE MARIE FREES MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MAYO MAIL CODE 195
MINNEAPOLIS, MN 55455
(612) 273-8383
1457814956 SAGAR SATISH DESHPANDE MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 195
MINNEAPOLIS, MN 55455
(612) 624-4777
1982167235 ALMA HABIB MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 284
MINNEAPOLIS, MN 55455
(612) 626-5454
1174188031 ENIO TORRES PEREZ MD, MPH
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 195
MINNEAPOLIS, MN 55455
(612) 625-6483
1174188874 CHRISTINA LEE MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 284
MINNEAPOLIS, MN 55455
(612) 626-5454
1609373521 ASISH EAPEN ABRAHAM MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 294
MINNEAPOLIS, MN 55455
(612) 625-4116
1548880420 JARED JOHNSON MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 394
MINNEAPOLIS, MN 55455
(612) 625-8364
1790305605 JACK DOENGES MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 195
MINNEAPOLIS, MN 55455
(612) 301-9433
1588227805 NATHAN DAVID WUNDER
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 292
MINNEAPOLIS, MN 55455
(612) 626-5566
1508488453 ROBERT FREUND
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC609, MAYO D142
MINNEAPOLIS, MN 55455
(612) 624-8133
1457976367 ANDREW OLSEN ARNOLD MD
Individual
Student in an Organized Health Care Education/Training Program420 DELAWARE STREET SE MMC 195
MINNEAPOLIS, MN 55455
(612) 625-6483

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528596731, enumerated in the NPI registry as an "individual" on June 01, 2017

The provider is located at 420 Delaware Street Se Mmc 195 Minneapolis, Mn 55455 and the phone number is (612) 625-6483

The provider's speciality is Radiology with taxonomy code 2085N0700X with a focus in Neuroradiology

The provider has more than 9 years of experience. She graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2017.

The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 01, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.