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ROMEO SAMOUH M.D.
NPI 1316225436
Family Medicine in Upland, CA

Active since July 22, 2011PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2133703 · Waiver
811 E 11TH ST, STE 102, UPLAND, CA 91786(909) 360-8737(909) 377-5302 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, May 23, 2017, Mar 30, 2017 and 1 more (4 updates tracked since 2017).

About Romeo Samouh M.d. NPPES

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

ROMEO SAMOUH M.D. (NPI 1316225436) is an individual family medicine provider in Upland, California, licensed in California (A127159) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 27, 2027, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316225436
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROMEO SAMOUHCredential: M.D.
Location Address811 E 11TH ST, STE 102Upland, CA 91786-4871
Mailing Address811 E 11th St, Ste 102Upland, CA 91786-4871 · (909) 360-8737 · Fax (909) 377-5302
Phone(909) 360-8737
Fax(909) 377-5302
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 22, 2011
Last NPPES UpdateJune 20, 20194 updates tracked since enumeration
✔ NPI 1316225436 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 · A127159
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.
811 E 11TH ST, Upland, CA 91786
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Romeo Samouh M.d. 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 ID1759688013
PECOS Enrollment IDI20160331000912
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2133703

Romeo Samouh MD Inc · Upland, CA
Active · expires May 27, 2027
CLIA Number05D2133703
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorRomeo J. Samouh MD
Laboratory Phone(909) 360-8737
Laboratory LocationRomeo Samouh MD Inc811 E 11th St Ste 102, Upland, CA 91786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 7

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

DR. WILLIAM B. MCLEOD M.D.
Obstetrics & Gynecology
811 E 11TH ST, SUITE 104
UPLAND, CA 91786
San Bernardino County (909) 626-7486
DR. ANGELINA PIK YIN CHENG MD
Specialist
811 E 11TH ST, SUITE 102
UPLAND, CA 91786
San Bernardino County (909) 985-0883
DWARAKNATH PONNALUR REDDY M.D.
Internal Medicine (Gastroenterology)
811 E 11TH ST, SUITE 208
UPLAND, CA 91786
San Bernardino County (909) 629-5540
DWARAKNATH P. REDDY, M.D.
Internal Medicine (Gastroenterology)
811 E 11TH ST, SUITE 208
UPLAND, CA 91786
San Bernardino County (909) 629-5540
DR. MIRA BHARAT JOSHI M.D.
Pediatrics
811 E 11TH ST, STE 102
UPLAND, CA 91786
San Bernardino County (909) 985-0883
DAVID ISAMI IGARASHI
Pharmacy
811 E 11TH ST, SUITE 201
UPLAND, CA 91786
San Bernardino County (909) 981-8818
JONARDI HANDOKO MD
Internal Medicine (Nephrology)
811 E 11TH ST, STE 206
UPLAND, CA 91786
San Bernardino County (909) 931-3727

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 Romeo Samouh's NPI number?

The NPI number for Romeo Samouh is 1316225436. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Romeo Samouh located?

Romeo Samouh practices at 811 E 11th St Ste 102, Upland, CA 91786. The listed phone number is (909) 360-8737.

What is Romeo Samouh's specialty?

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

Is Romeo Samouh enrolled in Medicare?

Yes. Romeo Samouh 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.

Does Romeo Samouh hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2133703) is associated with this NPI, valid through May 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Romeo Samouh was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.