SAMUEL FISK DESTEFANO MD
NPI 1114260619
Psychiatry & Neurology - Epilepsy in Littleton, CO

Q: What is Samuel Destefano's NPI number?

The NPI number for Samuel Destefano is 1114260619. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Q: What is Samuel Destefano's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Destefano was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

7780 S BROADWAY STE 350, LITTLETON, CO 80122(303) 730-4400(303) 730-4401 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Nov 11, 2025, Dec 7, 2021 and 2 more (5 updates tracked since 2018).

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About Samuel Fisk Destefano Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL FISK DESTEFANO MD (NPI 1114260619) is an individual epilepsy provider in Littleton, Colorado, licensed in Colorado (CDRH.0058144) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and maintains a secondary practice location in Oak Lawn.

NPPES Registry Identity

NPI1114260619

Entity TypeIndividualMale

Primary Taxonomy2084E0001X

Provider Legal NameSAMUEL FISK DESTEFANOCredential: MD

Location Address7780 S BROADWAY STE 350Littleton, CO 80122-2641

Mailing Address7780 S Broadway Ste 350Littleton, CO 80122-2641 · (303) 730-4400 · Fax (303) 730-4401

Phone(303) 730-4400

Fax(303) 730-4401

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 3, 2013

Last NPPES UpdateDecember 3, 20255 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1114260619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians

Taxonomy Code2084E0001X

Licenses✔ Licensed in CO · CDRH.0058144✔ Licensed in CO · DR.0058144

Definition

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.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 0058144 (CO), 036-176812 (IL)

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License DR.0058144 (CO)

7780 S BROADWAY STE 350, Littleton, CO 80122

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Secondary Practice Location 1

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (303) 436-2727

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Fisk Destefano Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395988638

PECOS Enrollment IDI20180831000218, I20251006000164

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450107

Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENEVIEVE HELENE ALVAREZ PA-C

Physician Assistant