DR. SAMSON MULU AMBAW (MD) – Nephrology Physician, NPI 1356521033
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 NEPHROLOGY in OK
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Provider Addresses for DR. SAMSON MULU AMBAW (MD)
East Reno Avenue, Midwest City, Oklahoma County, Oklahoma, 73130, United States
MIDWEST CITY, OK 73130
Phone: (405) 737-4900
Fax: (405) 737-3606
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $831.
Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($211).
Total Amount
$831
General + Research + Ownership
Payments
38
Total payment records
General Amount
$831
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: 2012-08-15
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 |
|---|---|---|---|---|
| I20120815000183 | I | Nephrology | OK | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 912 | 260 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 621 | 302 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 543 | 240 | $0 |
| 83735 | Magnesium level | 494 | 233 | $0 |
| 83970 | Parathormone (parathyroid hormone) level | 390 | 224 | $0 |
Insurance plans in this area (ZIP 73130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | OK | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 143 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nephrology, Internal Medicine | OK | |
| N E P H R O L O G Y | OK |
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