Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMER KEBBEH MD
NPI 1922629112
General Practice in Upland, CA

Q: 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.

Q: What is Samer Kebbeh's specialty?

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

Q: 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 10 days 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.

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: August 23, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 10 days 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.