SAMUEL M VALLE-RODRIGUEZ (MD) – Vascular & Interventional Radiology Physician, NPI 1700315025

SAMUEL M VALLE-RODRIGUEZ (MD) is a healthcare provider. based in Hartford, Connecticut. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. ME162952 (FL). The NPI Number for SAMUEL M VALLE-RODRIGUEZ (MD) is 1700315025

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL M VALLE-RODRIGUEZ (MD)
NPI
1700315025
Phone
(860) 972-2864
Address
80 SEYMOUR ST
Enumeration Date
8 June 2017
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056545221
Graduation Year
2017 (9 years ago)
PAC ID
0941669923
Group Practice PAC ID
6103129564
Professional Enrollment ID
I20230710000164
Address ID
FL331695521NO160XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

144 INTERVENTIONAL RADIOLOGY in CT

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Provider Addresses for SAMUEL M VALLE-RODRIGUEZ (MD)

  • Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States

    HARTFORD, CT 06102

    Phone: (860) 972-2864

    Type: Location

  • 4581 WESTON ROAD

    BOX 327

    WESTON, FL 333313141

    Phone: (305) 654-5221

    Fax: (305) 654-6872

    Type: Mailing

  • 160 NW 170TH ST

    NORTH MIAMI BEACH, FL 331695521

    Phone: (305) 651-1100

    Type: Location

  • 5037, South 204th East Avenue, Hartford Park, Broken Arrow, Wagoner County, Oklahoma, 74014, United States

    HARTFORD, CT 061025037

    Phone:

    Type: Mailing

  • 1611 NW 12TH AVE

    MIAMI, FL 331361005

    Phone: (305) 243-2067

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $3,780.

Total Amount is formed as General ($3,780) + Research ($0) + Ownership ($0) = $3,780.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Penumbra, Inc. ($2,066).

Total Amount

$3,780

General + Research + Ownership

Payments

28

Total payment records

General Amount

$3,780

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230710000164IInterventional RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view163151$0
70450Ct scan head or brain without contrast4343$0
74176Ct scan of abdomen and pelvis without contrast1818$0
71250Ct scan of chest without contrast1818$0
76937Ultrasonic guidance for blood vessel access1714$0
View full utilization report →

Insurance plans in this area (ZIP 06102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103129564View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyMN
Diagnostic RadiologyFL
Diagnostic Radiology, Interventional RadiologyMN
Diagnostic RadiologyFL
Diagnostic Radiology, Nuclear MedicineFL

Reviews

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Frequently asked questions

How do I look up SAMUEL M VALLE-RODRIGUEZ (MD) by NPI?
Use NPI 1700315025 when you need to reference SAMUEL M VALLE-RODRIGUEZ (MD) in forms, claims, or directories.
Is SAMUEL M VALLE-RODRIGUEZ (MD) active in the national directory?
SAMUEL M VALLE-RODRIGUEZ (MD)'s public NPI profile is in an active state.
Does SAMUEL M VALLE-RODRIGUEZ (MD) list a primary specialty?
If you are matching referrals, note Vascular & Interventional Radiology Physician for SAMUEL M VALLE-RODRIGUEZ (MD). Clinical services aligned with this taxonomy classification.
What location shows for SAMUEL M VALLE-RODRIGUEZ (MD)?
We surface Hartford, Connecticut for SAMUEL M VALLE-RODRIGUEZ (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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