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
- 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
- Code Navigator
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) |
---|---|---|---|---|
1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | DR.0070990 (CO) |
2 | 390200000X | Student, 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. | |||||||||
1 | 5 | 2 | 8 | 5 | 9 | 6 | 7 | 3 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 10 | 9 | 12 | 7 | 6 | |
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 = 1 | 1 |
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 Medicine | 420 DELAWARE STREET SE UNIVERSITY OF MINNESOTA PHYSICIANS MINNEAPOLIS, MN 55455 (612) 884-0999 |
1811087323 | DR. 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 | Anesthesiology | 420 DELAWARE STREET SE B515 MAYO MEMORIAL BUILDING, MMC 294 MINNEAPOLIS, MN 55455 (612) 624-9990 |
1326213448 | UNIVERSITY OF MINNESOTA Organization | General Acute Care Hospital | 420 DELAWARE STREET SE MAYO MAIL CODE 293 MINNEAPOLIS, MN 55455 (612) 625-7634 |
1083931943 | DR. REBECCA JANE MITCHARD M.D. Individual | Student in an Organized Health Care Education/Training Program | 420 DELAWARE STREET SE MMC 284 14-100 PHILLIPS-WANGENSTEEN BLDG MINNEAPOLIS, MN 55455 (612) 625-7634 |
1083031439 | NEUROLOGY LTD. Organization | Clinical Medical Laboratory | 420 DELAWARE STREET SE MINNEAPOLIS, MN 55455 (612) 625-1431 |
1427582386 | ROBERT WU M.D. Individual | Student in an Organized Health Care Education/Training Program | 420 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 Program | 420 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 Program | 420 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 Program | 420 DELAWARE STREET SE MMC 195 MINNEAPOLIS, MN 55455 (612) 624-4777 |
1982167235 | ALMA HABIB MD Individual | Student in an Organized Health Care Education/Training Program | 420 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 Program | 420 DELAWARE STREET SE MMC 195 MINNEAPOLIS, MN 55455 (612) 625-6483 |
1174188874 | CHRISTINA LEE MD Individual | Student in an Organized Health Care Education/Training Program | 420 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 Program | 420 DELAWARE STREET SE MMC 294 MINNEAPOLIS, MN 55455 (612) 625-4116 |
1548880420 | JARED JOHNSON MD Individual | Student in an Organized Health Care Education/Training Program | 420 DELAWARE STREET SE MMC 394 MINNEAPOLIS, MN 55455 (612) 625-8364 |
1790305605 | JACK DOENGES MD Individual | Student in an Organized Health Care Education/Training Program | 420 DELAWARE STREET SE MMC 195 MINNEAPOLIS, MN 55455 (612) 301-9433 |
1588227805 | NATHAN DAVID WUNDER Individual | Student in an Organized Health Care Education/Training Program | 420 DELAWARE STREET SE MMC 292 MINNEAPOLIS, MN 55455 (612) 626-5566 |
1508488453 | ROBERT FREUND Individual | Student in an Organized Health Care Education/Training Program | 420 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 Program | 420 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].
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