Mr Samiollah Gholam, MD - Medicare Internal Medicine in San Diego, CA

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Mr Samiollah Gholam, MD is a medicare enrolled "Internal Medicine" physician in San Diego, California. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Innovative Medical Group, Innovative Medical Specialties Inc and his current practice location is 4725 Market St, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 515-2560.

Mr Samiollah Gholam is licensed to practice in California (license number A145760) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326457904.

Contact Information

Mr Samiollah Gholam, MD
4725 Market St,
San Diego, CA 92102-4715
(619) 515-2560
Not Available

Map and Direction




Physician's Profile

Full NameMr Samiollah Gholam
GenderMale
SpecialityInternal Medicine
Experience12 Years
Location4725 Market St, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Samiollah Gholam graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1326457904
  • Provider Enumeration Date: 08/07/2014
  • Last Update Date: 08/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082971007
  • Enrollment ID: I20171129003702

Medical Identifiers

Medical identifiers for Mr Samiollah Gholam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326457904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD60836207 (Washington)Secondary
207R00000XInternal Medicine 042.0017590 (Vermont)Secondary
207R00000XInternal Medicine A145760 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Temecula Valley HospitalTemecula, CAHospital
Southwest Healthcare Rancho Springs HospitalMurrieta, CAHospital
Loma Linda University Medical Center-murrietaMurrieta, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Medical Group17597972519
Innovative Medical Specialties Inc61033254932

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Samiollah Gholam allows following entities to bill medicare on his behalf.
Entity NameKern County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376623538
PECOS PAC ID: 4688964521
Enrollment ID: O20160915002690
Entity NameInnovative Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003407735
PECOS PAC ID: 1759797251
Enrollment ID: O20210308002622
Entity NameInnovative Medical Specialties Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962390583
PECOS PAC ID: 6103325493
Enrollment ID: O20250814003283

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Samiollah Gholam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Samiollah Gholam, MD
823 Gateway Center Way,
San Diego, CA 92102-4541

Ph: (619) 515-2300		Mr Samiollah Gholam, MD
4725 Market St,
San Diego, CA 92102-4715

Ph: (619) 515-2560

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.