SAMUEL J HAUCK (MD) – Neuroradiology Physician, NPI 1356609937

SAMUEL J HAUCK (MD) is a healthcare provider. based in Edina, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 62047 (MN). The NPI Number for SAMUEL J HAUCK (MD) is 1356609937

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL J HAUCK (MD)
NPI
1356609937
Phone
(612) 573-2200
Address
7505 METRO BLVD STE 400
Enumeration Date
2 May 2012
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3206825225
Graduation Year
2012 (14 years ago)
PAC ID
8426355629
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20170619000246
Address ID
MN553021109AN440XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for SAMUEL J HAUCK (MD)

  • 7505 METRO BLVD STE 400

    EDINA, MN 55439

    Phone: (612) 573-2200

    Fax: (612) 573-2274

    Type: Location

  • 7595 ANAGRAM DR

    EDEN PRAIRIE, MN 553447399

    Phone: (612) 573-2200

    Fax: (612) 573-2274

    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: 2024-01-26

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
I20170619000246IDiagnostic RadiologyMNTBD
I20221104001479IDiagnostic RadiologySDTBD
I20240126001239IDiagnostic RadiologyNDTBD

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
A9585Injection, gadobutrol, 0.1 ml74612$0
70450Ct scan head or brain without contrast362345$0
70553Mri scan of brain before and after contrast318293$0
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml30023$0
70551Mri scan of brain without contrast289280$0
View full utilization report →

Insurance plans in this area (ZIP 55439)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is SAMUEL J HAUCK (MD)'s NPI number?
SAMUEL J HAUCK (MD)'s NPI is 1356609937 — the number used across U.S. healthcare to identify this provider.
Is SAMUEL J HAUCK (MD) shown as active in public data?
Registry records indicate SAMUEL J HAUCK (MD) maintains an active NPI.
What clinical focus is listed for SAMUEL J HAUCK (MD)?
At a glance, SAMUEL J HAUCK (MD) is tied to Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Is SAMUEL J HAUCK (MD) associated with Edina?
Public fields place SAMUEL J HAUCK (MD) around Edina, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for SAMUEL J HAUCK (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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