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SAMEER KANDULA
NPI 1700528809
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since April 09, 2022PECOS Enrolled
3800 W CHAPMAN AVE STE 7300, ORANGE, CA 92868(714) 456-7890 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sameer Kandula NPPES

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

SAMEER KANDULA (NPI 1700528809) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2022).

NPPES Registry Identity

NPI1700528809
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMEER KANDULA
Location Address3800 W CHAPMAN AVE STE 7300Orange, CA 92868-1638
Mailing Address3800 W Chapman Ave Ste 7300Orange, CA 92868-1638
Phone(714) 456-7890
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2022
Enumeration DateApril 9, 2022
NPPES CertifiedApril 8, 2022
✔ NPI 1700528809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3800 W CHAPMAN AVE STE 7300, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sameer Kandula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264883149
PECOS Enrollment IDI20260820001391
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 Sameer Kandula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
336 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 15

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

TING HSUAN CHIANG MD
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-7890
JALIN ROBERSON
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-7890
LINH LE
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-5501
WILLIAM MITCHELL MD
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-5501
JONATHAN WELT
Anesthesiology
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-7890
BRANDON SO MD
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (253) 394-1507
DANIEL DESMOND STEVENS MD
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-7890
SHAFEEN SAIF QAZI
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 7300
ORANGE, CA 92868
Orange County (714) 456-5501

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 Sameer Kandula's NPI number?

The NPI number for Sameer Kandula is 1700528809. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Sameer Kandula located?

Sameer Kandula practices at 3800 W Chapman Ave Ste 7300, Orange, CA 92868. The listed phone number is (714) 456-7890.

What is Sameer Kandula's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sameer Kandula enrolled in Medicare?

Yes. Sameer Kandula is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sameer Kandula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sameer Kandula reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Sameer Kandula'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 Sameer Kandula was last updated on April 9, 2022. 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.