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SAMUEL L KIPPER M.D.
NPI 1265498836
Radiology - Nuclear Radiology in Santa Ana, CA

Active since April 24, 2006PECOS Enrolled
91.24/100
CMS Quality Rating
1100 N TUSTIN AVE, SUITE A, SANTA ANA, CA 92705(714) 835-6055(714) 285-9084 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samuel L Kipper M.d. NPPES

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

SAMUEL L KIPPER M.D. (NPI 1265498836) is an individual nuclear radiology provider in Santa Ana, California, licensed in California (A34500) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265498836
Entity TypeIndividualMale
Primary Taxonomy2085N0904X
Provider Legal NameSAMUEL L KIPPERCredential: M.D.
Location Address1100 N TUSTIN AVE, SUITE ASanta Ana, CA 92705-3509
Mailing AddressPo Box 6279Indianapolis, IN 46206-6279 · (866) 727-1072 · Fax (800) 508-4751
Phone(714) 835-6055
Fax(714) 285-9084
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateMay 9, 2014
✔ NPI 1265498836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
License✔ Licensed in CA · A34500
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
1100 N TUSTIN AVE, Santa Ana, CA 92705
Open in Google Maps ↗

Other Identifiers 7

Medicare UPINA84640CA
Other360004475Railroad Medicare
Medicaid00A345000CA
Medicare PINEK898ZCA
Medicare PINWA34500B
Medicare PINWA34500C
Medicare PINEK898YCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel L Kipper 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

3

Medicare enrollment records show Samuel Kipper reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pronet Imaging Medical Group, Inc.
41 mi
Diagnostic Radiology
1516 COTNER AVE
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 311 clinicians in this Medicare group
NPI 1528099488 (310) 445-2800
San Fernando Valley Interventional Radiology And Imaging Center
47 mi
Vascular-Interventional Technology
16311 VENTURA BLVD STE 120
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 329 clinicians in this Medicare group
NPI 1942350889 (310) 445-2951
Norcal Imaging
351 mi
Diagnostic Radiology
2201 WALNUT AVE, SUITE # 150
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 238 clinicians in this Medicare group
NPI 1013031772 (510) 713-1234

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

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.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

DR. NABIL A PHILLIPS M.D.
Internal Medicine (Hematology & Oncology)
1100 N TUSTIN AVE, SUITE A
SANTA ANA, CA 92705
Orange County (714) 542-9100
DR. CHRISTINE P OH D.D.S.
Dentist (General Practice)
1100 N TUSTIN AVE, SUITE C
SANTA ANA, CA 92705
Orange County (714) 543-9762
MICHELE AMIRKHAN MD INC
Family Medicine
1100 N TUSTIN AVE, SUITE F
SANTA ANA, CA 92705
Orange County (714) 667-7922
DAVID LEONARD RODIBAUGH M.D.
Radiology (Diagnostic Radiology)
1100 N TUSTIN AVE
SANTA ANA, CA 92705
Orange County (714) 835-6055
NABIL PHILLIPS MD INC
Internal Medicine (Hematology & Oncology)
1100 N TUSTIN AVE, SUITE A
SANTA ANA, CA 92705
Orange County (714) 542-9100
PATRICIA KAY KINCAID M.D.
Radiology (Diagnostic Radiology)
1100 N TUSTIN AVE
SANTA ANA, CA 92705
Orange County (714) 835-6055
MARK GEOFFERY STEIN M.D.
Radiology (Diagnostic Radiology)
1100 N TUSTIN AVE, BLDG. A
SANTA ANA, CA 92705
Orange County (714) 835-6055
CHRISTINE P. OH, DDS, INC.
Clinic/Center (Dental)
1100 N TUSTIN AVE, SUITE C
SANTA ANA, CA 92705
Orange County (714) 543-9762

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 Kipper's NPI number?

The NPI number for Samuel Kipper is 1265498836. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Samuel Kipper located?

Samuel Kipper practices at 1100 N Tustin Ave Suite A, Santa Ana, CA 92705. The listed phone number is (714) 835-6055.

What is Samuel Kipper's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Samuel Kipper enrolled in Medicare?

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

Which organizations bill Medicare for Samuel Kipper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kipper reassigns Medicare benefits to 3 organizations: Pronet Imaging Medical Group, Inc. (Los Angeles, CA), San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA) and Norcal Imaging (Fremont, 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 Samuel Kipper'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 Kipper was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.