MISS SOUSSAN AYUBCHA (MD) – Family Medicine Physician, NPI 1013103910
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for MISS SOUSSAN AYUBCHA (MD)
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Phone: (215) 662-8777
Type: Location
7th Avenue, Shore Haven, Chautauqua County, New York, United States
NEW YORK, NY 100016757
Phone: (212) 924-2510
Fax: (212) 812-3800
Type: Mailing
275 7th Ave Fl 4
New York, NY 100016757
Phone: (212) 924-2510
Fax: (212) 812-3800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-12-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 |
|---|---|---|---|---|
| I20220502002315 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 19104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Internal Medicine | PA | |
| Internal Medicine | MA | |
| Family Practice | PA | |
| Family Practice | OH | |
| Internal Medicine | RI | |
| Family Practice | PA | |
| Hospitalist, Internal Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA |
Reviews
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