Romeo Samouh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A127159 Issued in CA

Practice address

811 E 11TH St
Ste 102
Upland, CA 91786-4871

Phone

(909) 360-8737

Fax

(909) 377-5302

NPI assigned

Jul 22, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Romeo Samouh MD Inc

  • Family Medicine Physician
  • Upland, CA
  • NPI 1508304544
  Medicare reassignment NPD Authorized official
• Skyline Medical Associates Inc

  • Primary Care Clinic/Center
  • Upland, CA
  • NPI 1982533709
  NPD Authorized official
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)
• Primecare Medical Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1093720427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1316225436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "STE 102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864871",
            "telephone_number": "909-360-8737",
            "fax_number": "909-377-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "STE 102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864871",
            "telephone_number": "909-360-8737",
            "fax_number": "909-377-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOUH",
        "first_name": "ROMEO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A127159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karam Samaan
• Sophia Samaniego
• Adriana Samano, LMFT
• Samaritan Counseling Center
• Sameer Sunita Hassamal & Company, Apc
• Elvis Sampson
• Farah Ragy Samy, DMD
• San Antonio Ambulatory Surgical Center, LLC
• San Antonio Medical Transport Inc.
• San Antonio Post Acute LLC

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.