SAMANTHA GHISELLI MD PLLC
NPI 1689253734
Dermatology in Glendale, CO
About Samantha Ghiselli Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA GHISELLI MD PLLC (NPI 1689253734) is a healthcare organization registered as a dermatology in Glendale, Colorado and active in the NPI registry since April 2021. The organization holds a CLIA Certificate of Compliance certificate valid through January 31, 2027 and lists Unchu Ring, Practice Manage, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Ghiselli Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Samantha Ghiselli MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 06D2146275
Samantha Ghiselli MD PLLC · Glendale, COFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Ghiselli MD PLLC's NPI number?
The NPI number for Samantha Ghiselli MD PLLC is 1689253734. It was assigned to this organization in the NPPES registry on April 6, 2021.
Where is Samantha Ghiselli MD PLLC located?
Samantha Ghiselli MD PLLC is located at 501 S Cherry St Ste 310, Glendale, CO 80246. The listed phone number is (303) 333-7873.
What is Samantha Ghiselli MD PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Samantha Ghiselli MD PLLC enrolled in Medicare?
Yes. Samantha Ghiselli MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samantha Ghiselli MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Samantha Ghiselli MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Samantha Ghiselli MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 06D2146275) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Samantha Ghiselli MD PLLC was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Samantha Ghiselli Md Pllc · NPI 1689253734
Dermatology organization in Glendale, Colorado. Organization record, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1689253734 (Entity type: Organization)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Unchu Ring, PRACTICE MANAGE
## Practice location
- **Address:** 501 S CHERRY ST STE 310, Glendale, CO 80246-1322
- **Phone:** (303) 333-7873 · **Fax:** (303) 321-7873
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2021
- **Other identifiers:** Other 51663 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689253734) · Data from the CMS NPPES public registry.