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DR. SAMER MAGDI EBEID D.D.S.
NPI 1114028222
Dentist - Endodontics in San Rafael, CA

Active since September 25, 2006PECOS Enrolled
750 LAS GALLINAS AVE STE 108, SAN RAFAEL, CA 94903(415) 479-6444(415) 479-2315 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samer Magdi Ebeid D.d.s. NPPES

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

DR. SAMER MAGDI EBEID D.D.S. (NPI 1114028222) is an individual endodontics provider in San Rafael, California, licensed in California (40428) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114028222
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. SAMER MAGDI EBEIDCredential: D.D.S.
Location Address750 LAS GALLINAS AVE STE 108San Rafael, CA 94903-3431
Mailing Address750 Las Gallinas Ave Ste 108San Rafael, CA 94903-3431 · (415) 479-6444 · Fax (415) 479-2315
Phone(415) 479-6444
Fax(415) 479-2315
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114028222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 40428
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
750 LAS GALLINAS AVE STE 108, San Rafael, CA 94903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samer Magdi Ebeid D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. YOON HAENG LEE D.D.S.
Dentist (Endodontics)
750 LAS GALLINAS AVE STE 108
SAN RAFAEL, CA 94903
Marin County (415) 479-6444

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 Samer Ebeid's NPI number?

The NPI number for Samer Ebeid is 1114028222. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Samer Ebeid located?

Samer Ebeid practices at 750 Las Gallinas Ave Ste 108, San Rafael, CA 94903. The listed phone number is (415) 479-6444.

What is Samer Ebeid's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Samer Ebeid enrolled in Medicare?

Yes. Samer Ebeid is registered in the Medicare PECOS enrollment system.

What insurance does Samer Ebeid accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Samer Ebeid as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samer Ebeid was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.