Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124524038 Individual Practitioner Male Practitioner

Dr. Samuel Pennella , MD

General Practice • Detroit, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Pennella, MD is a certified General Practice practicing in Detroit, MI. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Pennella delivers high-quality medical care to the local community at 607 SHELBY ST STE 700.

Dr. Pennella accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include telephone medical discussion with physician, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, management using the results of remote vital sign monitoring per calendar month, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

607 Shelby St Ste 700

Detroit, MI 482263282

Telephone 9082088926
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Detroit, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -2.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Detroit, MI (445 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
40.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pennella (12 Years) 12 Yrs
Detroit Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes
419 412 $150.00 $87.70
99443 Telephone medical discussion with physician, 21-30 minutes
112 110 $200.00 $124.71
99441 Telephone medical discussion with physician, 5-10 minutes
94 94 $100.00 $54.26

Medical Specialties & State Licenses

CMS Verified: 2026-05-06
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301510893

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License MN 68449

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License KS TW00059

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL TPME2986

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License CO DR.0074417

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

14 Glennon Farm Ln

Lebanon, NJ 088334504

Phone: 9082088926

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location May 06, 2026

Registered at 607 SHELBY ST STE 700, DETROIT, MI 482263282 (Tel: 9082088926)

📍
Updated Practice Location March 27, 2026

Registered at 3200 GREENFIELD RD STE 300, DEARBORN, MI 481201805 (Tel: 9082088926)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2025

General Practice (License #68449 in MN)

📍
Updated Practice Location November 21, 2024

Registered at 1905 N SHERMAN ST STE 200, DENVER, CO 802031132 (Tel: 9082088926)

👤
Provider Name / Credentials Updated November 21, 2024

Recorded as SAMUEL PENNELLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2024

General Practice (License #TW00059 in KS)

📍
Updated Business Mailing Address January 24, 2024

Registered at 14 GLENNON FARM LN, LEBANON, NJ 088334504 (Tel: 9082088926)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2024

General Practice (License #4301510893 in MI)

📍
Updated Practice Location December 19, 2023

Registered at 14 GLENNON FARM LN, LEBANON, NJ 088334504 (Tel: 9082088926)

👤
Provider Name / Credentials Updated December 19, 2023

Recorded as SAM PENNELLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2023

General Practice (License #TPME2986 in FL)

👤
Provider Name / Credentials Updated November 09, 2021

Recorded as SAMUEL PENNELLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2021

General Practice (License #TW00059 in KS)

📍
Updated Practice Location November 27, 2020

Registered at 615 GROVE ST, CLIFTON, NJ 070133846 (Tel: 9082088926)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2020

General Practice (License #68449 in MN)

NPI Profile Active April 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2018

Registered at 7600 RIVER RD, NORTH BERGEN, NJ 070476217 (Tel: 2018545000)

📍
Updated Business Mailing Address April 02, 2018

Registered at 615 GROVE ST, CLIFTON, NJ 070133846 (Tel: 9082088926)

👤
Provider Name / Credentials Updated April 02, 2018

Recorded as SAM PENNELLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samuel Pennella. Be the first to share your experience!

Sign in to leave a review for Dr. Samuel Pennella

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124524038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2018
Last Update: May 06, 2026
Sole Proprietor: Yes

Mailing Address

14 Glennon Farm Ln

Lebanon, NJ 088334504

Phone: 9082088926

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.