SAM AMIR MIKHAIL D.O.
NPI 1245511476
Family Medicine in Ventura, CA

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment
200 S WELLS RD, SUITE 200, VENTURA, CA 93004(805) 436-3444(805) 425-4160 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sam Amir Mikhail D.o. NPPES

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

SAM AMIR MIKHAIL D.O. (NPI 1245511476) is an individual family medicine provider in Ventura, California, licensed in California (14040) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1245511476
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAM AMIR MIKHAILCredential: D.O.
Location Address200 S WELLS RD, SUITE 200Ventura, CA 93004-1377
Mailing Address200 S Wells Rd, Suite 200Ventura, CA 93004-1377 · (805) 436-3444 · Fax (805) 425-4160
Fax(805) 425-4160
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 1, 2011
Last NPPES UpdateSeptember 26, 2023
✔ NPI 1245511476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 14040✔ Licensed in IL · 125060712
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.
200 S WELLS RD, Ventura, CA 93004

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

Sam Amir Mikhail D.o. 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 ID3971724626
PECOS Enrollment IDI20151116001099
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 Sam Mikhail reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
200 S WELLS RD, SUITE 100
Ventura, CA 93004
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93004 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.15 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 20

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

Family Medicine
200 S WELLS RD, SUITE 100 CLINICAS DEL CAMINO REAL INC
VENTURA, CA 93004
Psychologist
200 S WELLS RD, CLINICAS DEL CAMINO REAL INC
VENTURA, CA 93004
Dentist (Endodontics)
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Pediatrics
200 S WELLS RD
VENTURA, CA 93004
Dentist
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Nurse Practitioner (Family)
200 S WELLS RD
VENTURA, CA 93004
Physician Assistant
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Dentist (General Practice)
200 S WELLS RD, SUITE 100
VENTURA, CA 93004

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 Sam Mikhail's NPI number?

The NPI number for Sam Mikhail is 1245511476. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Sam Mikhail located?

Sam Mikhail practices at 200 S Wells Rd Suite 200, Ventura, CA 93004. The listed phone number is (805) 436-3444.

What is Sam Mikhail's specialty?

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

Is Sam Mikhail enrolled in Medicare?

Yes. Sam Mikhail 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 Sam Mikhail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Mikhail reassigns Medicare benefits to 2 organizations: Clinicas Del Camino Real Inc (Ventura, CA) and Southern California Permanente Medical Group (Oxnard, 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 Sam Mikhail'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 Sam Mikhail was last updated on September 26, 2023. 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.