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

Dr. Samuel Pennella Jr., MD

Individual provider General Practice Physician · NPI 1124524038

Dr. Samuel Pennella Jr., MD is a General Practice in Detroit, Michigan. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Florida, Kansas and Michigan and 1 more.

Years since qualifying
12
Licensed in
CO, FL, KS, MI, MN
In the registry since
2018
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

607 Shelby St Ste 700
Detroit, MI 48226-3282
Phone: (908) 208-8926
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 14 Glennon Farm Ln, Lebanon, NJ 08833-4504 — (908) 208-8926

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 4301510893 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 68449 (MN)
General Practice Physician Taxonomy 208D00000X · Licence TW00059 (KS)
General Practice Physician Taxonomy 208D00000X · Licence TPME2986 (FL)
General Practice Physician Taxonomy 208D00000X · Licence DR.0074417 (CO)

Record details

NPI number1124524038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Detroit