SAM H. HESSAMI (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1831167162
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for SAM H. HESSAMI (MD)
400 N Pepper Ave # 206
Colton, CA 923241801
Phone: (909) 580-2270
Fax: (909) 580-3289
Type: Location
15-01 Broadway, Rt 4 West
Suites 1 & 3
Fair Lawn, NJ 07410
Phone: (201) 791-4544
Fax: (201) 791-6585
Type: Location
3501 S HARBOR BLVD STE 200
SANTA ANA, CA 927046940
Phone: (949) 284-4996
Fax: (888) 498-4129
Type: Location
206, North Pepper Avenue, Colton, San Bernardino County, California, 92324, United States
COLTON, CA 923241801
Phone: (909) 580-2270
Fax: (909) 580-3289
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $157.
Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.
Last reported payment date: 2024-11-30 • Largest payer in this snapshot: FEMSelect Inc. ($82).
Total Amount
$157
General + Research + Ownership
Payments
3
Total payment records
General Amount
$157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| FEMSelect Inc. | $82 |
| Astellas Pharma US Inc | $75 |
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: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040426000465 | I | Obstetrics/Gynecology | NJ | TBD |
| I20201123002875 | I | Obstetrics/Gynecology | CA | TBD |
| I20240109004837 | I | Obstetrics/Gynecology | MD | 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 92324)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | NJ | 51798 | Ultrasound measurement of bladder capacity after voiding | 95 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Obstetrics/Gynecology, Medical Genetics And Genomics | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
Reviews
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