SAMUEL IM M.D.
NPI 1790839496
Obstetrics & Gynecology - Gynecologic Oncology in Whittier, CA
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
Specialties & Licenses
Other Identifiers 3
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Samuel Im reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Whittier, CA 90602
- Reassigned Medicare billing, California enrollment
- 840 clinicians in this Medicare group
Whittier, CA 90602
- Reassigned Medicare billing, California enrollment
Whittier, CA 90602
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 21 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.
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.
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.
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.
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.
WHITTIER, CA 90602
WHITTIER, CA 90602
WHITTIER, CA 90602
WHITTIER, CA 90602
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.
Which organizations bill Medicare for Samuel Im's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Im reassigns Medicare benefits to 4 organizations: Pih Health Physicians (Whittier, CA), Samuel S. Im, MD, Inc. (Whittier, CA), County Of Los Angeles (Whittier, CA) and Valley Obstetrics & Gynecology Medical Group, Inc. (Colton, CA). Each 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 Samuel Im'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 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 15 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.
# Samuel Im, M.D. · NPI 1790839496
Gynecologic Oncology physician in Whittier, California. Individual provider, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1790839496 (Entity type: Individual)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **State license:** A71341 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12462 PUTNAM ST, SUITE 303, Whittier, CA 90602-1048
- **Phone:** (562) 900-1012 · **Fax:** (562) 789-4440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Pih Health Physicians (NPI 1821224247, Whittier, CA); Samuel S. Im, MD, Inc. (NPI 1235398439, Whittier, CA); County Of Los Angeles (NPI 1194919951, Whittier, CA); Valley Obstetrics & Gynecology Medical Group, Inc. (NPI 1144304817, Colton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** October 12, 2011
- **Other identifiers:** Medicare ID-Type Unspecified WA71341F (CA); Medicare UPIN H49953 (CA); Medicare ID-Type Unspecified WA71341G (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790839496) · Data from the CMS NPPES public registry.