MOHAMED ELSAMRA (M.D.) – Psychiatry Physician, NPI 1457464406
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 PSYCHIATRY in CT
Provider Addresses for MOHAMED ELSAMRA (M.D.)
19, Ellis Road, East Haven, New Haven County, Connecticut, 06512, United States
EAST HAVEN, CT 065124627
Phone: (203) 887-3890
Type: Mailing
179 POST RD W
WESTPORT, CT 068804602
Phone: (203) 450-4882
Type: Mailing
53, Riverside Avenue, Westport, Fairfield County, Connecticut, 06880, United States
WESTPORT, CT 068804215
Phone: (203) 347-2484
Fax: (860) 647-6831
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $524.
Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alkermes, Inc. ($101).
Total Amount
$524
General + Research + Ownership
Payments
24
Total payment records
General Amount
$524
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-06-01
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 |
|---|---|---|---|---|
| I20110601000751 | I | Psychiatry | CT | 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 06512)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MA | |
| Nurse Practitioner | NY |
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