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SUKHJIT SAMRA M.D.
NPI 1154563799
Family Medicine in Modesto, CA

Active since March 27, 2009PECOS Enrolled
1224 SCENIC DR, MODESTO, CA 95350(800) 380-9366(833) 573-2336 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Dec 15, 2021 (2 updates tracked since 2021).

About Sukhjit Samra M.d. NPPES

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

SUKHJIT SAMRA M.D. (NPI 1154563799) is an individual family medicine provider in Modesto, California, licensed in California (A108999) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154563799
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUKHJIT SAMRACredential: M.D.
Location Address1224 SCENIC DRModesto, CA 95350-6137
Mailing Address1224 Scenic DrModesto, CA 95350-6137 · (800) 380-9366 · Fax (833) 573-2336
Phone(800) 380-9366
Fax(833) 573-2336
Sole ProprietorNo
Enumeration DateMarch 27, 2009
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1154563799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A108999
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1224 SCENIC DR, Modesto, CA 95350
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sukhjit Samra M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sukhjit Samra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
31 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
Valley Urgent Care
  • Reassigned Medicare billing, California enrollment
No phone listed

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 8

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

ROSALIO OROZCO RUBIO M.D.
Internal Medicine
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 442-6077
ABEL KETEMA MD
Internal Medicine
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (833) 573-2336
RACHEL SAWIT NP
Nurse Practitioner
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 442-6077
MR. DAVID ANTHONY FALL FNP-C
Nurse Practitioner (Family)
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 442-6077
DA SOM CHOI
Nurse Practitioner (Family)
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 442-6077
KELLY SHOUSE FNP-C
Nurse Practitioner (Family)
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 442-6077
SIENNA GUZMAN
Occupational Therapist
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (800) 380-9366
DIANA HUIZAR FNP
Nurse Practitioner
1224 SCENIC DR
MODESTO, CA 95350
Stanislaus County (209) 658-2282

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 Sukhjit Samra's NPI number?

The NPI number for Sukhjit Samra is 1154563799. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Sukhjit Samra located?

Sukhjit Samra practices at 1224 Scenic Dr, Modesto, CA 95350. The listed phone number is (800) 380-9366.

What is Sukhjit Samra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sukhjit Samra enrolled in Medicare?

Yes. Sukhjit Samra is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sukhjit Samra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sukhjit Samra reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and Valley Urgent Care (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 Sukhjit Samra'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 Sukhjit Samra was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.