FAHMI FAHMI – Internal Medicine Physician, NPI 1891711347
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
652 PEDIATRIC MEDICINE in MD
Provider Addresses for FAHMI FAHMI
24035 Three Notch Rd
Hollywood, MD 206364871
Phone: (301) 373-7200
Fax: (301) 373-6200
Type: Location
Three Notch Road, Oakville, Saint Mary's County, Maryland, 20636, United States
HOLLYWOOD, MD 206364871
Phone: (301) 373-7200
Fax: (301) 373-6200
Type: Location
510 CADMUS LN
EASTON, MD 216013857
Phone: (410) 819-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $249.
Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.
Last reported payment date: 2023-10-26 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($249).
Total Amount
$249
General + Research + Ownership
Payments
2
Total payment records
General Amount
$249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $249 |
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: 2022-11-01
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 |
|---|---|---|---|---|
| I20101216000566 | I | Pediatric Medicine | MD | TBD |
| I20220131002351 | I | Internal Medicine | DC | TBD |
| I20221101001290 | I | Internal Medicine | VA | 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 20636)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD |
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