DR. LAITH MOUFED AL DAHABREH (MD) – Nephrology Physician, NPI 1164918967
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
547 NEPHROLOGY in OH
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Provider Addresses for DR. LAITH MOUFED AL DAHABREH (MD)
245 OAKLAND PKWY
LEESBURG, GA 317631809
Phone: (216) 856-0854
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 441061716
Phone:
Type: Mailing
1200 N JEFFERSON ST
ALBANY, GA 317012057
Phone: (216) 856-0854
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $823.
Total Amount is formed as General ($823) + Research ($0) + Ownership ($0) = $823.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($205).
Total Amount
$823
General + Research + Ownership
Payments
41
Total payment records
General Amount
$823
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
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: 2022-06-22
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 |
|---|---|---|---|---|
| I20220622001248 | I | Nephrology | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 389 | 273 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 332 | 175 | $0 |
| 80069 | Kidney function blood test panel | 308 | 166 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 298 | 117 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 297 | 166 | $0 |
Insurance plans in this area (ZIP 31763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| - | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NJ | |
| Nephrology, Internal Medicine | LA | |
| N E P H R O L O G Y | OH | |
| N E P H R O L O G Y | GA | |
| Nurse Practitioner | GA |
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