POONEH SAM MD
NPI 1952574303
Hospitalist in Tucson, AZ

Q: What is Pooneh Sam's NPI number?

The NPI number for Pooneh Sam is 1952574303. It was assigned to this individual provider in the NPPES registry on April 7, 2008. The provider is also known as Pooneh Badrekhorasani MD.

Q: What is Pooneh Sam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Pooneh Sam was last updated on May 6, 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.

Active since April 07, 2008PECOS Enrolled

839 W CONGRESS ST, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pooneh Sam Md NPPES

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

POONEH SAM MD (NPI 1952574303) is an individual hospitalist provider in Tucson, Arizona, licensed in Arizona (42165) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952574303

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NamePOONEH SAMCredential: MD

Location Address839 W CONGRESS STTucson, AZ 85745-2819

Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 290-5551

Phone(520) 670-3909

Fax(520) 309-2560

Sole ProprietorYes

Enumeration DateApril 7, 2008

Last NPPES UpdateMay 6, 2022

NPPES CertifiedMay 6, 2022

✔ NPI 1952574303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 42165

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 42165 (AZ)

839 W CONGRESS ST, Tucson, AZ 85745

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Other Names 1

Former Name (1)Pooneh Badrekhorasani Md

Other Identifiers 1

Medicaid448302AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pooneh Sam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Pooneh Sam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Rio Santa Cruz Neighborhood Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

839 W CONGRESS ST
Tucson, AZ 85745

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1487602736 (520) 670-3909

Arizona Inpatient Medicine Associates LLC

9.1 mi

Internal Medicine

7383 E TANQUE VERDE RD
Tucson, AZ 85715

Reassigned Medicare billing, Arizona enrollment
111 clinicians in this Medicare group

NPI 1083647754 (520) 318-3434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier33 claims33 services$12.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier33 claims33 services$56.72 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICOLA FINLEY MD

Internal Medicine