SAMIRA KHAN (MD) – Ophthalmology Physician, NPI 1679736672
Ophthalmology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for SAMIRA KHAN (MD)
475 W Badillo St
Covina, CA 917231834
Phone: (714) 901-2004
Fax: (714) 901-2006
Type: Location
1400 N Harbor Blvd Ste 101
Fullerton, CA 928354107
Phone: (714) 888-2080
Fax: (714) 888-2099
Type: Location
GREC Architects, 645, North Michigan Avenue, Magnificent Mile, Near North Side, Chicago, Cook County, Illinois, 60611, United States
STE 440
CHICAGO, IL 606112826
Phone:
Type: Mailing
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 570-2040
Type: Mailing
27871 MEDICAL CENTER RD STE 120
MISSION VIEJO, CA 926916405
Phone: (714) 901-2006
Fax: (714) 901-2004
Type: Location
75 ENTERPRISE STE 200
ALISO VIEJO, CA 926562626
Phone: (949) 688-6205
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $466.
Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.
Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($149).
Total Amount
$466
General + Research + Ownership
Payments
11
Total payment records
General Amount
$466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $149 |
| Regeneron Healthcare Solutions, Inc. | $142 |
| Alcon Vision LLC | $100 |
| Bausch & Lomb Americas Inc. | $44 |
| ABBVIE INC. | $32 |
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: 2021-10-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211020002764 | I | Ophthalmology | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 35 | 27 | $0 |
| 92014 | Established patient complete exam of visual system | 33 | 32 | $0 |
| 67028 | Injection of drug into eye | 31 | 19 | $0 |
| J9035 | Injection, bevacizumab, 10 mg | 20 | 13 | $0 |
Insurance plans in this area (ZIP 91723)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
Reviews
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