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ERENE NAWAR SAMI M.D.
NPI 1023335817
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mission Viejo, CA

Active since May 03, 2010PECOS EnrolledAccepts Medicare Assignment
61.7/100
CMS Quality Rating
26800 CROWN VALLEY PKWY STE 485, MISSION VIEJO, CA 92691(949) 364-5830 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 25, 2022, Nov 9, 2021, Oct 21, 2020 and 2 more (5 updates tracked since 2018).

About Erene Nawar Sami M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERENE NAWAR SAMI M.D. (NPI 1023335817) is an individual endocrinology, diabetes & metabolism provider in Mission Viejo, California, licensed in California (A120158) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2010).

NPPES Registry Identity

NPI1023335817
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameERENE NAWAR SAMICredential: M.D.
Location Address26800 CROWN VALLEY PKWY STE 485Mission Viejo, CA 92691-8025
Mailing Address100 E Valencia Mesa Dr Ste 105Fullerton, CA 92835-3816 · (714) 446-5640 · Fax (714) 446-5625
Phone(949) 364-5830
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2010
Enumeration DateMay 3, 2010
Last NPPES UpdateOctober 25, 20225 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1023335817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A120158
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License A120158 (CA)
26800 CROWN VALLEY PKWY STE 485, Mission Viejo, CA 92691
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erene Nawar Sami M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608189675
PECOS Enrollment IDI20150924002362
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
148 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.59
Promoting Interoperability100
Improvement Activities20
Cost62.33

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers32 claims86 services$5.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers49 claims49 services$196.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEAL ENDOCRINE & DIABETES, PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY STE 485
MISSION VIEJO, CA 92691
Orange County (949) 364-5830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erene Sami's NPI number?

The NPI number for Erene Sami is 1023335817. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Erene Sami located?

Erene Sami practices at 26800 Crown Valley Pkwy Ste 485, Mission Viejo, CA 92691. The listed phone number is (949) 364-5830.

What is Erene Sami's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Erene Sami enrolled in Medicare?

Yes. Erene Sami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Erene Sami was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.