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SAMUEL IM M.D.
NPI 1790839496
Obstetrics & Gynecology - Gynecologic Oncology in Whittier, CA

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
12462 PUTNAM ST, SUITE 303, WHITTIER, CA 90602(562) 900-1012(562) 789-4440 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Im M.d. NPPES

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

SAMUEL IM M.D. (NPI 1790839496) is an individual gynecologic oncology provider in Whittier, California, licensed in California (A71341) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1996).

NPPES Registry Identity

NPI1790839496
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameSAMUEL IMCredential: M.D.
Location Address12462 PUTNAM ST, SUITE 303Whittier, CA 90602-1048
Mailing AddressPo Box 4316Cerritos, CA 90703-4316 · (562) 900-1012 · Fax (562) 789-4440
Phone(562) 900-1012
Fax(562) 789-4440
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1996
Enumeration DateJanuary 22, 2007
Last NPPES UpdateOctober 12, 2011
✔ NPI 1790839496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in CA · A71341
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
12462 PUTNAM ST, Whittier, CA 90602
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedWA71341FCA · Ppin
Medicare UPINH49953CA
Medicare ID-Type UnspecifiedWA71341GCA · Ppin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Im M.d. 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 ID8820051451
PECOS Enrollment IDI20041104001193
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services18 patients
Removal of uterus, cervix, and lymph nodes of pelvis with biopsy of aortic lymph node using an endoscope 58548
This procedure involves the removal of two major organs and nearby tissue, with a sample taken from a node near the heart. An endoscope, a small camera, helps the surgeon see inside the body. This is done to prevent or treat certain health conditions.
15 services15 patients
Removal or destruction of cysts or growths of abdominal cavity, 5.0 cm or less 49203
This procedure involves the removal or destruction of cysts or growths in your abdominal cavity. It's performed when these growths are 5.0 cm or less. The aim is to prevent complications and improve your health. It's done by a trained medical professional using safe, sterile techniques.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90602 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

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.

MINGGEN KUO M.D.
Internal Medicine (Pulmonary Disease)
12462 PUTNAM ST, SUITE #208
WHITTIER, CA 90602
Los Angeles County (562) 789-5470
SARA SOTO MD
Obstetrics & Gynecology
12462 PUTNAM ST
WHITTIER, CA 90602
Los Angeles County (562) 789-5440
MARYAM ZAMANIAN MD
Internal Medicine (Critical Care Medicine)
12462 PUTNAM ST, SUITE 208
WHITTIER, CA 90602
Los Angeles County (562) 789-5470
DR. DAVID KUAN-HUNG CHEN MD
Otolaryngology
12462 PUTNAM ST, SUITE 500
WHITTIER, CA 90602
Los Angeles County (562) 789-5456
SAMUEL S. IM, MD, INC.
Obstetrics & Gynecology (Gynecologic Oncology)
12462 PUTNAM ST, SUITE 303
WHITTIER, CA 90602
Los Angeles County (562) 900-1012
WHITTIER PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC.
Internal Medicine (Pulmonary Disease)
12462 PUTNAM ST, SUITE 208
WHITTIER, CA 90602
Los Angeles County (562) 789-5470
ANGELA MARIE GRANADOS CNM
Advanced Practice Midwife
12462 PUTNAM ST, SUITE #303
WHITTIER, CA 90602
Los Angeles County (562) 789-5440
DR. DENNIS J. SARGENT M.D.
Surgery
12462 PUTNAM ST, SUITE 200
WHITTIER, CA 90602
Los Angeles County (562) 789-5489

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 Samuel Im's NPI number?

The NPI number for Samuel Im is 1790839496. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Samuel Im located?

Samuel Im practices at 12462 Putnam St Suite 303, Whittier, CA 90602. The listed phone number is (562) 900-1012.

What is Samuel Im's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Samuel Im enrolled in Medicare?

Yes. Samuel Im 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.

When was this NPI record last updated?

The NPPES record for Samuel Im was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.