Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Edward Fuller, MD

Individual provider Diagnostic Radiology Physician · NPI 1093730749

Dr. Samuel Edward Fuller, MD is a Diagnostic Radiology in Greeley, Colorado. Graduated from Saint Louis University School of Medicine in 1999, 27 years ago. Practices with Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Colorado, Hawaii and Kansas and 2 more.

Years since qualifying
27
Trained at
Saint Louis University School of Medicine
Licensed in
CA, CO, HI, KS, NE, WY
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1801 16th St
Greeley, CO 80631-5154
Phone: (303) 761-9190
Fax: (720) 874-4462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10800 E Geddes Ave Ste 300, Englewood, CO 80112-3895 — (303) 761-9190

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 43466 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A72891 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 7318A (WY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 23277 (NE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-41647 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD19873 (HI)

Record details

NPI number1093730749
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address10800 E Geddes Ave Ste 300, Englewood, CO 80112-3895

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Medical Imaging Of Colorado Radiology Imaging Assc Pc Etal Pt — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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