SAMI JELOUSI MD
NPI 1588313779
General Practice in Tucson, AZ
About Sami Jelousi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMI JELOUSI MD (NPI 1588313779) is an individual general practice provider in Tucson, Arizona, licensed in Arizona (70072) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sami Jelousi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sami Jelousi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Arizona enrollment
- 556 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.
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.
TUCSON, AZ 85719
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 Sami Jelousi's NPI number?
The NPI number for Sami Jelousi is 1588313779. It was assigned to this individual provider in the NPPES registry on March 23, 2022.
Where is Sami Jelousi located?
Sami Jelousi practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.
What is Sami Jelousi's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Sami Jelousi enrolled in Medicare?
Yes. Sami Jelousi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sami Jelousi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sami Jelousi reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Sami Jelousi'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 Sami Jelousi was last updated on January 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sami Jelousi, MD · NPI 1588313779
General Practice physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1588313779 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 70072 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 N CAMPBELL AVE, Tucson, AZ 85719-4330
- **Phone:** (520) 694-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1588313779) · Data from the CMS NPPES public registry.