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SAMUEL ANI
NPI 1215514823
Internal Medicine in El Cajon, CA

Active since March 28, 2021PECOS Enrolled
875 EL CAJON BLVD FL 1, EL CAJON, CA 92020(619) 205-4585 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2024, Mar 28, 2021 (2 updates tracked since 2021).

About Samuel Ani NPPES

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

SAMUEL ANI (NPI 1215514823) is an individual internal medicine provider in El Cajon, California, licensed in California (20A23049) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215514823
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL ANI
Location Address875 EL CAJON BLVD FL 1El Cajon, CA 92020-5714
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345
Phone(619) 205-4585
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1215514823 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 · 20A23049
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.
875 EL CAJON BLVD FL 1, El Cajon, CA 92020
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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)

Samuel Ani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951895945
PECOS Enrollment IDI20251208002214
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 Reassignment

Medicare enrollment records show Samuel Ani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.
Same address
Federally Qualified Health Center (FQHC)
875 EL CAJON BLVD
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1568845741 (619) 662-4100

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 92020 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.

Other Providers at the Same Location NPPES

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

PAVITHRA RAMACHANDRAN MS, RD
Dietitian, Registered
875 EL CAJON BLVD FL 1
EL CAJON, CA 92020
San Diego County (619) 662-4100

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 Samuel Ani's NPI number?

The NPI number for Samuel Ani is 1215514823. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Samuel Ani located?

Samuel Ani practices at 875 El Cajon Blvd Fl 1, El Cajon, CA 92020. The listed phone number is (619) 205-4585.

What is Samuel Ani's specialty?

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

Is Samuel Ani enrolled in Medicare?

Yes. Samuel Ani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Ani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ani reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (El Cajon, CA). The 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 Samuel Ani'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 Samuel Ani was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.