SAMIR G. TEJWANI MD
NPI 1659568343
Neuromusculoskeletal Medicine & OMM in Fontana, CA

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-3910 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samir G. Tejwani Md NPPES

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

SAMIR G. TEJWANI MD (NPI 1659568343) is an individual neuromusculoskeletal medicine & omm provider in Fontana, California, licensed in California (A78292) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2000).

NPPES Registry Identity

NPI1659568343
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameSAMIR G. TEJWANICredential: MD
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2000
Enumeration DateSeptember 27, 2007
Last NPPES UpdateNovember 29, 2021
✔ NPI 1659568343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CA · A78292
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
9961 SIERRA AVE, Fontana, CA 92335

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

Samir G. Tejwani Md 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 ID7214907575
PECOS Enrollment IDI20040726001513
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.

Medicare Billing Reassignment

Medicare enrollment records show Samir Tejwani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 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.

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335

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 Samir Tejwani's NPI number?

The NPI number for Samir Tejwani is 1659568343. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Samir Tejwani located?

Samir Tejwani practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.

What is Samir Tejwani's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Samir Tejwani enrolled in Medicare?

Yes. Samir Tejwani 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 organization bills Medicare for Samir Tejwani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Tejwani reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). 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 Samir Tejwani'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 Samir Tejwani was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.