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

Samuel Fisk Destefano, MD

Individual provider Epilepsy Physician · NPI 1114260619

Samuel Fisk Destefano, MD is a Neurology in Littleton, Colorado. Qualified in 2013, 13 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Illinois.

Years since qualifying
13
Licensed in
CO, IL
In the registry since
2013
Specialties on file
5
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

7780 S Broadway Ste 350
Littleton, CO 80122-2641
Phone: (303) 730-4400
Fax: (303) 730-4401
Show map & directions

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

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (303) 436-2727

Specialties & licences

Epilepsy Physician (primary) Taxonomy 2084E0001X · Licence CDRH.0058144 (CO)
Neurology Physician Taxonomy 2084N0400X · Licence 0058144 (CO)
Neurology Physician Taxonomy 2084N0400X · Licence 036-176812 (IL)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence DR.0058144 (CO)
Epilepsy Physician Taxonomy 2084E0001X · Licence DR.0058144 (CO)

Record details

NPI number1114260619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare