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SAMER S SANNOUFI MD
NPI 1528023264
Family Medicine in Riverside, CA

Active since April 18, 2006PECOS Enrolled
6900 BROCKTON AVE STE 200, RIVERSIDE, CA 92506(951) 682-6263(951) 682-0114 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2019, Aug 28, 2018 (2 updates tracked since 2018).

About Samer S Sannoufi Md NPPES

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

SAMER S SANNOUFI MD (NPI 1528023264) is an individual family medicine provider in Riverside, California, licensed in Arizona (MD33024) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1528023264
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMER S SANNOUFICredential: MD
Location Address6900 BROCKTON AVE STE 200Riverside, CA 92506
Mailing Address6900 Brockton Ave Ste 200Riverside, CA 92506-3818 · (951) 682-6263 · Fax (951) 682-0114
Phone(951) 682-6263
Fax(951) 682-0114
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
✔ NPI 1528023264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · MD33024
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.
6900 BROCKTON AVE STE 200, Riverside, CA 92506
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Secondary Practice Location 1

Location 1201 W Guadalupe Rd, Ste 311Gilbert, AZ 85233 · Phone (480) 558-7078 · Fax (480) 558-7081

Other Identifiers 1

OtherC53604CA · California Medical Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samer S Sannoufi Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$198.09 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 4

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

GRACE MEDICAL AND WELLNESS CLINIC
Internal Medicine
6900 BROCKTON AVE STE 200
RIVERSIDE, CA 92506
Riverside County (909) 664-4634
RUTH RAMIREZ NP
Nurse Practitioner (Family)
6900 BROCKTON AVE STE 200
RIVERSIDE, CA 92506
Riverside County (951) 682-6263
PRIMARY CARE FAMILY PRACTICE APC
Family Medicine
6900 BROCKTON AVE STE 200
RIVERSIDE, CA 92506
Riverside County (951) 682-6263
EUNJIN LEE
Nurse Practitioner (Primary Care)
6900 BROCKTON AVE STE 200
RIVERSIDE, CA 92506
Riverside County (951) 682-6263

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 Samer Sannoufi's NPI number?

The NPI number for Samer Sannoufi is 1528023264. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Samer Sannoufi located?

Samer Sannoufi practices at 6900 Brockton Ave Ste 200, Riverside, CA 92506. The listed phone number is (951) 682-6263.

What is Samer Sannoufi's specialty?

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

Is Samer Sannoufi enrolled in Medicare?

Yes. Samer Sannoufi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samer Sannoufi was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.