ROBERT L SCIULLI (MD) – Diagnostic Radiology Physician, NPI 1114926417

ROBERT L SCIULLI (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 15275 (SC). The NPI Number for ROBERT L SCIULLI (MD) is 1114926417

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT L SCIULLI (MD)
NPI
1114926417
Phone
(952) 595-1301
Address
11995 SINGLETREE LN
Enumeration Date
19 July 2005
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
2295245217
Graduation Year
1974 (52 years ago)
PAC ID
2860406451
Group Practice PAC ID
7113919820
Professional Enrollment ID
I20171006001268
Address ID
SC299097016BL16XXXBLFX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

590 DIAGNOSTIC RADIOLOGY in SC

Provider Addresses for ROBERT L SCIULLI (MD)

  • 11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    STE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 16 CARRIER BLF

    BLUFFTON, SC 299097016

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    Type: Location

  • 3600 MINNESOTA DR STE 800

    EDINA, MN 554357915

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 340-3911

    Type: Location

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20171006001268IDiagnostic RadiologySCTBD
I20171028000218IDiagnostic RadiologyTXTBD
I20231018001605IDiagnostic RadiologyILTBD

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
72100X-ray of lower and sacral spine, 2-3 views7978$0
73502X-ray of hip, 2-3 views7574$0
73630X-ray of foot, minimum of 3 views6156$0
73030X-ray of shoulder, minimum of 2 views4342$0
72110X-ray of lower and sacral spine, minimum of 4 views4242$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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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: 7113919820View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMD
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyFL
Emergency Medicine, Internal MedicineGA
-MN
Diagnostic Radiology, Interventional RadiologyGA

Reviews

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Frequently asked questions

What is the registry number for ROBERT L SCIULLI (MD)?
The registry entry for ROBERT L SCIULLI (MD) shows NPI 1114926417.
Quick check: is ROBERT L SCIULLI (MD) active?
Public NPPES data shows ROBERT L SCIULLI (MD) with an active NPI status right now.
What type of care does ROBERT L SCIULLI (MD) provide?
ROBERT L SCIULLI (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ROBERT L SCIULLI (MD)?
ROBERT L SCIULLI (MD) shows a connection to Eden Prairie, Minnesota in registry-derived data.
Who maintains ROBERT L SCIULLI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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