DR. SAMIH ELAKKAD (M.D.) – Diagnostic Radiology Physician, NPI 1134566235
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. SAMIH ELAKKAD (M.D.)
34800 BOB WILSON DR
SAN DIEGO, CA 921341098
Phone: (480) 421-8629
Type: Mailing
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6301
Fax: (570) 271-5976
Type: Mailing
1624 E LAGUNA DR
TEMPE, AZ 852825739
Phone: (480) 421-8629
Type: Location
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: 2025-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240112001812 | I | Diagnostic Radiology | CA | TBD |
| I20240918001579 | I | Diagnostic Radiology | VA | TBD |
| I20250206002174 | I | Diagnostic Radiology | AL | TBD |
| I20250409002062 | I | Diagnostic Radiology | PA | TBD |
| I20250904001389 | I | Diagnostic Radiology | NV | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine | OH | |
| Nurse Practitioner | AL | |
| Internal Medicine | NY | |
| - | AL | |
| Nurse Practitioner | AL | |
| General Surgery | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL |
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