Samuel Pennella Jr., MD
NPI 1124524038ActiveIndividual· General Practice· Detroit, MI
General Practice (MD) in Detroit, Michigan, licensed in MI, MN, KS and FL and other states, with an NPI issued in April 2018. Mostly services rather than prescriptions: Medicare paid $42,374 for 608 patients in 2024, with only 42 Part D claims.
Overview
| NPI | 1124524038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 2, 2018 |
| Last updated in NPPES | May 6, 2026 |
| Certified by provider | May 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 4301510893 | MI |
| General Practice | 208D00000X | 68449 | MN |
| General Practice | 208D00000X | TW00059 | KS |
| General Practice | 208D00000X | TPME2986 | FL |
| General Practice | 208D00000X | DR.0074417 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 608 |
|---|---|
| Services billed | 626 across 4 procedure codes |
| Paid by Medicare | $42,374 |
Part D prescriptions in 2024
| Prescriptions (claims) | 42 · 78 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $608.01 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | General Practice |
| Telehealth | Offers telehealth |
Other facilities
- Medilodge of FrankenmuthNursing home · Frankenmuth, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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