Individual provider Active NPI

Robert L Sciulli, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1114926417
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15275 Issued in SC
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15275 SC Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171006001268 SC Practitioner - Diagnostic Radiology 2860406451 Reassigns benefits to 14 organizations
I20171028000218 TX Practitioner - Diagnostic RadiologyPractitioner - Orthopedic Surgery 2860406451 Reassigns benefits to 4 organizations
I20231018001605 IL Practitioner - Diagnostic Radiology 2860406451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Myrtle Beach, SC 29579
Phone (570) 271-6144

Bluffton, SC 29909
Phone (570) 271-6144

16 Carrier BLF
Bluffton, SC 29909-7016
Phone (952) 595-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare Partners Family Medicine Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Donalsonville Hospital Inc CurrentSince Feb 5, 2019 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Sep 25, 2017 Accepting new patients
Ton San Xavier Health Center CurrentSince Sep 25, 2017 Accepting new patients
Ton San Simon Health Center CurrentSince Sep 25, 2017 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Mar 8, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 14, 2022 Accepting new patients
Ton Sells Hospital CurrentSince Sep 25, 2017 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Dec 26, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince May 15, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Charleston Radiologists PA Diagnostic Radiology CurrentSince Sep 25, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 14, 2022 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 27, 2020 Accepting new patients
Kaleida Health CurrentSince Dec 26, 2024 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Emory Health Care Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine Past Accepting new patients

Locations (25 of 53)

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rsciulli138129@uihcdirect.org

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1114926417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIULLI",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "15275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.