LEENAH HISHAM A KHAYAT – Nurse Practitioner, NPI 1023743986

LEENAH HISHAM A KHAYAT is a healthcare provider. based in Orange, California. specializing in NURSE PRACTITIONER. They hold a License No. 95012801 (CA). The NPI Number for LEENAH HISHAM A KHAYAT is 1023743986

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
LEENAH HISHAM A KHAYAT
NPI
1023743986
Phone
Not provided
Address
2592 N SANTIAGO BLVD
Enumeration Date
22 July 2022
Last Update Date
22 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8554347763
Graduation Year
2019 (7 years ago)
PAC ID
3971987967
Group Practice PAC ID
6103044078
Professional Enrollment ID
I20220824002796
Address ID
CA92707XXXXSAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LEENAH HISHAM A KHAYAT

  • 2592 N SANTIAGO BLVD

    ORANGE, CA 928671862

    Phone:

    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: 2022-08-24

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
I20220824002796INurse PractitionerCATBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes43077$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month25969$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes20758$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes16462$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month11342$0
View full utilization report →

Insurance plans in this area (ZIP 92867)

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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: 6103044078View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I verify LEENAH HISHAM A KHAYAT with an NPI only?
You can start verification with NPI 1023743986 for LEENAH HISHAM A KHAYAT, then check state licensing separately.
Is LEENAH HISHAM A KHAYAT listed as active for patients and plans?
The listing shows LEENAH HISHAM A KHAYAT as active in the NPI system.
What is LEENAH HISHAM A KHAYAT's specialty?
The listing groups LEENAH HISHAM A KHAYAT with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for LEENAH HISHAM A KHAYAT?
LEENAH HISHAM A KHAYAT's geographic hint is Orange, California in our summary view.
Why does LEENAH HISHAM A KHAYAT have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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