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SAMER KEBBEH MD
NPI 1922629112
General Practice in Upland, CA

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
1310 SAN BERNARDINO RD STE 101, UPLAND, CA 91786(909) 982-2719(909) 946-9931 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2026, Dec 16, 2022, May 16, 2020 (3 updates tracked since 2020).

About Samer Kebbeh Md NPPES

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

SAMER KEBBEH MD (NPI 1922629112) is an individual general practice provider in Upland, California, licensed in California (A183194) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1922629112
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSAMER KEBBEHCredential: MD
Location Address1310 SAN BERNARDINO RD STE 101Upland, CA 91786-4985
Mailing Address3770 Canfield RdPasadena, CA 91107-2252 · (626) 535-3521 · Fax (909) 946-9931
Phone(909) 982-2719
Fax(909) 946-9931
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 29, 2020
Last NPPES UpdateAugust 16, 20263 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1922629112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A183194
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License A183194 (CA)
1310 SAN BERNARDINO RD STE 101, Upland, CA 91786
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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 and accepts Medicare assignment

Samer Kebbeh 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 ID7214476449
PECOS Enrollment IDI20240830003143
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 Samer Kebbeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Neurology Group Inc
6.0 mi
Neurology
2895 N TOWNE AVE
Pomona, CA 91767
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1376967422 (909) 267-7495

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

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.

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.
23 services23 patients

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 Samer Kebbeh's NPI number?

The NPI number for Samer Kebbeh is 1922629112. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Samer Kebbeh located?

Samer Kebbeh practices at 1310 San Bernardino Rd Ste 101, Upland, CA 91786. The listed phone number is (909) 982-2719.

What is Samer Kebbeh's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Samer Kebbeh enrolled in Medicare?

Yes. Samer Kebbeh 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 Samer Kebbeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samer Kebbeh reassigns Medicare benefits to The Neurology Group Inc (Pomona, 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 Samer Kebbeh'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 Samer Kebbeh was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.