POONEH SAM MD
NPI 1952574303
Hospitalist in Tucson, AZ
NPI Status: Active since April 07, 2008
Contact Information
839 W CONGRESS ST
TUCSON, AZ
ZIP 85745
Phone: (520) 670-3909
Fax: (520) 309-2560
- Individual
- Female
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About POONEH SAM
This page provides the complete NPI Profile along with additional information for Pooneh Sam, a provider established in Tucson, Arizona with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1952574303 assigned on April 2008. The practitioner's primary taxonomy code is 208M00000X with license number 42165 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1952574303
- Provider Name
- POONEH SAM MD
- Other Name
- POONEH BADREKHORASANI MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 839 W CONGRESS ST TUCSON, AZ 85745
- Location Phone
- (520) 670-3909
- Location Fax
- (520) 309-2560
- Mailing Address
- 839 W CONGRESS ST TUCSON, AZ 85745
- Mailing Phone
- (520) 670-3909
- Mailing Fax
- (520) 309-2560
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-07-2008
- Last Update Date
- 05-06-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 42165
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 42165 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Bronze - PimaFocus Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - PimaFocus Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - PimaFocus Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Gold - PimaFocus Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Silver - PimaFocus Network - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 448302 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
Pooneh Sam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 33 Medicare Claims 33 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 33 Medicare Claims 33 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85745 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.71
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $31.92
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $24.5
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 5 | 2 | 5 | 7 | 4 | 3 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 10 | 7 | 8 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 1 + 0 + 7 + 8 + 3 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1952574303 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912904699 | DR. ARTHUR N MARTINEZ MD Individual | Preventive Medicine (Occupational Medicine) | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3707 |
| 1891797643 | MR. ANTHONY ALBERT FELIX R.PH. Individual | Pharmacist | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3791 |
| 1033102876 | MR. HERMAN DAVID VERDUGO RPH Individual | Pharmacist | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 205-4996 |
| 1285627034 | DR. MARIO RENE GRANILLO PHARMD Individual | Pharmacist | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 205-4996 |
| 1588657340 | MR. TOMMY WILLIAM PERALTA PHARM D. Individual | Pharmacist | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3725 |
| 1194719047 | DENISE AHEARN MD Individual | Pediatrics | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3909 |
| 1679567457 | SUE ANN BREEMS CNM Individual | Midwife | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3870 |
| 1356322002 | GAYLE BROWN CNM Individual | Midwife | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3870 |
| 1649252727 | REBECCA FREEMAN CNM Individual | Midwife | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 792-9890 |
| 1730161829 | MARY LOU LEITNER FNP Individual | Nurse Practitioner (Family) | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 792-9890 |
| 1467434555 | MAUREEN HARTLE-SHUTTE CNM Individual | Midwife | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 792-9890 |
| 1003898180 | NICOLA FINLEY MD Individual | Internal Medicine | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 792-9890 |
| 1881678084 | SHARON MILAN CNM Individual | Midwife | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3870 |
| 1144208703 | ALBERTO RAMIREZ MD Individual | Family Medicine | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3909 |
| 1023089927 | JANICE RODENBERG CNM Individual | Advanced Practice Midwife | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3870 |
| 1912979675 | DOUGLAS J SPEGMAN MD Individual | Internal Medicine | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3909 |
| 1881660850 | MARK VIETTI MD Individual | Internal Medicine | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3909 |
| 1639124076 | MELISSA M YOUNG RN MS CPNP Individual | Registered Nurse (Pediatrics) | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 670-3914 |
| 1326132044 | GAIL E MCDONALD MD Individual | Family Medicine | 839 W CONGRESS ST TUCSON, AZ 85745 (520) 792-9890 |
| 1881750511 | DR. HAROLD A BLACK DDS Individual | Dentist (General Practice) | 839 W CONGRESS ST EL RIO HC DENTAL PROGRAM TUCSON, AZ 85745 (520) 670-3758 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952574303, enumerated in the NPI registry as an "individual" on April 07, 2008
The provider is located at 839 W Congress St Tucson, Az 85745 and the phone number is (520) 670-3909
The provider's speciality is Hospitalist with taxonomy code 208M00000X
The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.71 with an average copayment of $31.92 for new patient appointments. Established patients should expect a typical charge of $98 and an average copayment of 24.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 07, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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