SAMIR EZZELDIN WITTA (MD PHD) – Hematology & Oncology Physician, NPI 1013991678

SAMIR EZZELDIN WITTA (MD PHD) is a healthcare provider. based in Golden, Colorado. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD PHD. They hold a License No. DR.0039762 (CO). The NPI Number for SAMIR EZZELDIN WITTA (MD PHD) is 1013991678

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
SAMIR EZZELDIN WITTA (MD PHD)
NPI
1013991678
Phone
(303) 953-7400
Address
400 INDIANA ST
Enumeration Date
6 December 2005
Last Update Date
15 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034981885
Graduation Year
1990 (36 years ago)
PAC ID
3971578550
Group Practice PAC ID
5890054100
Professional Enrollment ID
I20040827000362
Address ID
CO802497760DE4859XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

246 HEMATOLOGY/ONCOLOGY in CO

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Provider Addresses for SAMIR EZZELDIN WITTA (MD PHD)

  • Red Rocks Medical Center, 400, Indiana Street, Golden, Jefferson County, Colorado, 80401, United States

    SUITE 270

    GOLDEN, CO 804015027

    Phone: (303) 953-7400

    Fax: (303) 953-7401

    Type: Mailing

  • 2555 S DOWNING ST

    DENVER, CO 802105855

    Phone: (303) 715-7030

    Fax: (303) 715-7035

    Type: Location

  • 4747 S DOWNING ST

    ENGLEWOOD, CO 801135917

    Phone: (303) 870-3293

    Fax: (303) 586-2228

    Type: Mailing

  • 3501 S CORONA ST STE 1

    ENGLEWOOD, CO 801133907

    Phone: (303) 999-6745

    Fax: (303) 586-2228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $965.

Total Amount is formed as General ($965) + Research ($0) + Ownership ($0) = $965.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Sirtex Medical Inc ($73).

Total Amount

$965

General + Research + Ownership

Payments

45

Total payment records

General Amount

$965

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040827000362IHematology/OncologyCOTBD
I20240603003301IHematology/OncologyNETBD
I20251031004232IMedical OncologyNMTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes384179$0
99214Established patient office or other outpatient visit, 30-39 minutes254113$0
99442Telephone medical discussion with physician, 11-20 minutes3629$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2316$0
View full utilization report →

Insurance plans in this area (ZIP 80401)

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Provider's Procedures

SAMIR EZZELDIN WITTA (MD PHD) performs procedures in HEMATOLOGY/ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYCO96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour47942
HEMATOLOGY/ONCOLOGYCO96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention8514

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: 5890054100View full group profile
NameSpecialtyState
-CO
H E M A T O L O G Y/ O N C O L O G YFL
-CO
P O D I A T R YTX
Certified Clinical Nurse Specialist (Cns)CO
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Physician AssistantCO
Physician AssistantCO
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO

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Frequently asked questions

What NPI should I save for SAMIR EZZELDIN WITTA (MD PHD)?
Save NPI 1013991678 if you need a stable reference for SAMIR EZZELDIN WITTA (MD PHD).
Is SAMIR EZZELDIN WITTA (MD PHD) active in the national directory?
SAMIR EZZELDIN WITTA (MD PHD)'s public NPI profile is in an active state.
What kind of provider is SAMIR EZZELDIN WITTA (MD PHD)?
The page reflects Hematology & Oncology Physician for SAMIR EZZELDIN WITTA (MD PHD). Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMIR EZZELDIN WITTA (MD PHD)?
The page summarizes Golden, Colorado for SAMIR EZZELDIN WITTA (MD PHD); expand the address list for detail.
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