DR. SAMUEL R OBIEKWE (M.D.) – Surgery Physician, NPI 1003965153

DR. SAMUEL R OBIEKWE (M.D.) is a healthcare provider. based in San diego, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. C51428 (CA). The NPI Number for DR. SAMUEL R OBIEKWE (M.D.) is 1003965153

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL R OBIEKWE (M.D.)
NPI
1003965153
Phone
(909) 816-1032
Address
113 W G ST # 315
Enumeration Date
9 January 2007
Last Update Date
12 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513525666
Graduation Year
1982 (44 years ago)
PAC ID
2567361108
Group Practice PAC ID
0547173882
Professional Enrollment ID
I20040313000600
Address ID
CA925033919RI3865XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for DR. SAMUEL R OBIEKWE (M.D.)

  • 113 W G ST # 315

    SAN DIEGO, CA 921016096

    Phone: (909) 816-1032

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040313000600IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making146138$0
99284Emergency department visit with moderate level of medical decision making106100$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8783$0
99291Critical care, first 30-74 minutes4039$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 92101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547173882View full group profile
NameSpecialtyState
-CA
Emergency MedicineNY
Emergency MedicineVA
Interventional Pain Management, Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
-CA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is DR. SAMUEL R OBIEKWE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. SAMUEL R OBIEKWE (M.D.) with NPI 1003965153.
Is DR. SAMUEL R OBIEKWE (M.D.) still practicing?
DR. SAMUEL R OBIEKWE (M.D.) is currently listed as active in the public NPI registry.
What is DR. SAMUEL R OBIEKWE (M.D.) best known for clinically?
Directory data describes DR. SAMUEL R OBIEKWE (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SAMUEL R OBIEKWE (M.D.)?
DR. SAMUEL R OBIEKWE (M.D.)'s geographic hint is San Diego, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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