SAMEEP P. KADAKIA (MD) – Otolaryngology Physician, NPI 1063788461

SAMEEP P. KADAKIA (MD) is a healthcare provider. based in Moraine, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. R0595 (TX). The NPI Number for SAMEEP P. KADAKIA (MD) is 1063788461

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SAMEEP P. KADAKIA (MD)
NPI
1063788461
Phone
(937) 991-3186
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
29 March 2012
Last Update Date
20 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2961779913
Group Practice PAC ID
8921022260
Professional Enrollment ID
I20180830002377
Address ID
OH453731337TR3130XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

535 OTOLARYNGOLOGY in OH

Provider Addresses for SAMEEP P. KADAKIA (MD)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3186

    Fax: (937) 223-9811

    Type: Mailing

  • 4222 GRAND AVE

    MIDDLETOWN, OH 45044

    Phone: (937) 440-7876

    Fax: (937) 440-7874

    Type: Location

  • 923 Pennsylvania Ave Ste 100

    Fort Worth, TX 761042254

    Phone: (817) 920-0484

    Fax: (817) 920-0068

    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 $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Checkpoint Surgical, Inc ($77).

Total Amount

$93

General + Research + Ownership

Payments

2

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

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: 2018-08-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180830002377IOtolaryngologyOHTBD

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
31575Diagnostic exam of voice box using a flexible endoscope6450$0
99212Established patient office or other outpatient visit, 10-19 minutes4338$0
99213Established patient office or other outpatient visit, 20-29 minutes3530$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99214Established patient office or other outpatient visit, 30-39 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 45439)

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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: 8921022260View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorOH
-OH
Orthopedic SurgeryOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
-OH
Mental Health CounselorOH
General SurgeryOH
G A S T R O E N T E R O L O G YDC

Reviews

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Frequently asked questions

Can I cross-check SAMEEP P. KADAKIA (MD) using NPI 1063788461?
NPI 1063788461 belongs to SAMEEP P. KADAKIA (MD); compare other details if you need extra assurance.
Is SAMEEP P. KADAKIA (MD) still an active registrant?
SAMEEP P. KADAKIA (MD) carries an active NPI according to the public dataset.
How would a patient describe SAMEEP P. KADAKIA (MD)'s focus?
For SAMEEP P. KADAKIA (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is SAMEEP P. KADAKIA (MD) registered?
Use Moraine, Ohio as the headline location for SAMEEP P. KADAKIA (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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