SAMIR MEHROTRA MD
NPI 1093125007
Internal Medicine in Encinitas, CA

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
4403 MANCHESTER AVE STE 101, ENCINITAS, CA 92024(760) 436-6365 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samir Mehrotra Md NPPES

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

SAMIR MEHROTRA MD (NPI 1093125007) is an individual internal medicine provider in Encinitas, California, licensed in California (A145526) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093125007
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMIR MEHROTRACredential: MD
Location Address4403 MANCHESTER AVE STE 101Encinitas, CA 92024-4939
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 29, 2014
Last NPPES UpdateJanuary 1, 2026
NPPES CertifiedJanuary 1, 2026
✔ NPI 1093125007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A145526
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4403 MANCHESTER AVE STE 101, Encinitas, CA 92024

Secondary Practice Locations 3

Location 1400 N Pepper AveColton, CA 92324-1801 · Phone (909) 580-1000
Location 22309 Antonio AveCamarillo, CA 93010-1414 · Phone (760) 946-4233
Location 31600 N Rose AveOxnard, CA 93030 · Phone (805) 988-2505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samir Mehrotra Md 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 ID3971874116
PECOS Enrollment IDI20170804003331
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Samir Mehrotra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
16205 SAND CANYON AVE STE 100
Irvine, CA 92618
  • Reassigned Medicare billing, California enrollment
  • 89 clinicians in this Medicare group
Primary Care
1504 BROOKHOLLOW DR STE 118
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%208 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Samir Mehrotra's NPI number?

The NPI number for Samir Mehrotra is 1093125007. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Samir Mehrotra located?

Samir Mehrotra practices at 4403 Manchester Ave Ste 101, Encinitas, CA 92024. The listed phone number is (760) 436-6365.

What is Samir Mehrotra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samir Mehrotra enrolled in Medicare?

Yes. Samir Mehrotra 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.

Which organizations bill Medicare for Samir Mehrotra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Mehrotra reassigns Medicare benefits to 4 organizations: Hmts, Inc (Irvine, CA), Mehrotra MD, Professional Corporation (Santa Ana, CA), Healthcare Partners Affiliates Medical Group (Tustin, CA) and Inpatient Specialists Of California, PC (San Bernardino, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samir Mehrotra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samir Mehrotra was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.