MR. SAMIOLLAH GHOLAM M.D
NPI 1326457904
Internal Medicine in San Diego, CA
About Mr. Samiollah Gholam M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMIOLLAH GHOLAM M.D (NPI 1326457904) is an individual internal medicine provider in San Diego, California, licensed in California (A145760) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Samiollah Gholam 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.
Medicare Billing Reassignments
6Medicare enrollment records show Samiollah Gholam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92102
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Bakersfield, CA 93306
- Reassigned Medicare billing, California enrollment
- 532 clinicians in this Medicare group
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Berlin, VT 05602
- Reassigned Medicare billing, Vermont enrollment
- 562 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 92102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92102
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 Samiollah Gholam's NPI number?
The NPI number for Samiollah Gholam is 1326457904. It was assigned to this individual provider in the NPPES registry on August 7, 2014.
Where is Samiollah Gholam located?
Samiollah Gholam practices at 4725 Market St, San Diego, CA 92102. The listed phone number is (619) 515-2560.
What is Samiollah Gholam's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samiollah Gholam enrolled in Medicare?
Yes. Samiollah Gholam 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 Samiollah Gholam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samiollah Gholam reassigns Medicare benefits to 6 organizations: Family Health Centers Of San Diego Inc (San Diego, CA), Innovative Medical Specialties Inc (Temecula, CA), Innovative Medical Group (Temecula, CA), Kern County Hospital Authority (Bakersfield, CA), University Of Vermont Medical Center Inc (Burlington, VT) and 1 more organization, listed in the Medicare section above. 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 Samiollah Gholam'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 Samiollah Gholam was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Mr. Samiollah Gholam, M.D · NPI 1326457904
Internal Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 7, 2014.
## Identity
- **NPI:** 1326457904 (Entity type: Individual)
- **Enumerated:** August 7, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A145760 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4725 MARKET ST, San Diego, CA 92102-4715
- **Phone:** (619) 515-2560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Family Health Centers Of San Diego Inc (NPI 1982747671, San Diego, CA); Innovative Medical Specialties Inc (NPI 1962390583, Temecula, CA); Innovative Medical Group (NPI 1003407735, Temecula, CA); Kern County Hospital Authority (NPI 1376623538, Bakersfield, CA); University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326457904) · Data from the CMS NPPES public registry.