Individual provider Active NPI

Samantha Huq

  • Vascular & Interventional Radiology Physician
  • Highlands Ranch, CO
National Provider Identifier
1750791059
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0067653 Issued in CO
Practice address
8671 S Quebec St Ste 200
Highlands Ranch, CO 80130-5861
Phone
(303) 805-7477
NPI assigned
May 7, 2014
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X DR.0067653 CO Primary

Addresses

Primary practice location

8671 S Quebec St Ste 200
Highlands Ranch, CO 80130-5861

Mailing address

8671 S Quebec St Ste 200
Highlands Ranch, CO 80130-5861
Phone (303) 805-7477

Other practice location 1

8671 S Quebec St Ste 130
Highlands Ranch, CO 80130-5860
Phone (303) 805-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220628001165 CO Practitioner - Vascular SurgeryPractitioner - Interventional Radiology 0042539637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Connecticut School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Plaza Dr
Suite 100
Highlands Ranch, CO 80129-2348
Phone (303) 799-5199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067653COMDVascular & Interventional Radiology Physician

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1750791059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 S QUEBEC ST STE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305861",
            "telephone_number": "303-805-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 S QUEBEC ST STE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305861",
            "telephone_number": "303-805-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8671 S Quebec St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801305860",
            "country_code": "US",
            "telephone_number": "303-805-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUQ",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0067653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.