ROMEO SAMOUH MD INC
NPI 1508304544
Family Medicine in Upland, CA

Active since February 10, 2017
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: October 25, 2026.

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

About Romeo Samouh Md Inc NPPES

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

ROMEO SAMOUH MD INC (NPI 1508304544) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since February 2017. The organization lists Romeo Samouh, Md/president, as its authorized official.

NPPES Registry Identity

NPI1508304544
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROMEO SAMOUH MD INC
Location Address811 E 11TH ST STE 102Upland, CA 91786-4872
Mailing Address811 E 11th St Ste 102Upland, CA 91786-4872 · (909) 360-8737 · Fax (909) 377-5302
Fax(909) 377-5302
Organization SubpartNo
Authorized OfficialRomeo SamouhMd/president · (909) 360-8737
Enumeration DateFebruary 10, 2017
Last NPPES UpdateJune 20, 20194 updates tracked since enumeration
✔ NPI 1508304544 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 STE 102, Upland, CA 91786

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Romeo Samouh Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Romeo Samouh MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1316225436
811 E 11TH ST STE 102
Upland, CA 91786
(909) 360-8737
✔ PECOS✔ Accepts MedicareSame address

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

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 MD Inc's NPI number?

The NPI number for Romeo Samouh MD Inc is 1508304544. It was assigned to this organization in the NPPES registry on February 10, 2017.

Where is Romeo Samouh MD Inc located?

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

What is Romeo Samouh MD Inc's specialty?

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

Is Romeo Samouh MD Inc enrolled in Medicare?

Yes. Romeo Samouh MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Romeo Samouh MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Romeo Samouh MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Romeo Samouh MD Inc 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.