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SAMUEL FISK DESTEFANO M.D. NPI 1114260619


NPI Information

NPI: 1114260619
Provider Name: SAMUEL FISK DESTEFANO, M.D.
Classification: Psychiatry & Neurology - 2084E0001X
Entity Type: Individual

Specialization: Epilepsy

PECOS Registration: Yes

Address:
13001 E 17TH PL
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA, CO
ZIP 80045
Phone: (303) 724-4330
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Samuel Fisk Destefano, M.D. is an epilepsy in Aurora, CO with 11 years of experience. The provider is epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient. Samuel Fisk Destefano, M.D. NPI is 1114260619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

13001 E 17TH PL
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA, CO
ZIP 80045
Phone: (303) 724-4330

The NPI 1114260619 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.

  • Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report (HCPCS:95720)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)
  • Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)

The enumeration date for this NPI number is 4/3/2013 and was last updated on 12/7/2021.


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
12084E0001XPsychiatry & NeurologyEpilepsy DR.0058144COLORADOYes
22084N0400XPsychiatry & NeurologyNeurology0058144COLORADONo
32084N0600XPsychiatry & NeurologyClinical NeurophysiologyDR.0058144COLORADONo

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: 5/5/2024

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.