SAMANTHA NIZAM HABHAB (MD) – Cornea and External Diseases Specialist Physician, NPI 1407385636
Cornea and External Diseases Specialist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 OPHTHALMOLOGY in PA
Provider Addresses for SAMANTHA NIZAM HABHAB (MD)
840 WALNUT ST
PHILADELPHIA, PA 191075599
Phone: (215) 923-3239
Type: Location
840 Walnut St
Philadelphia, PA 191075599
Phone: (215) 923-3239
Type: Location
4717 Saint Antoine St
Detroit, MI 482011423
Phone: (313) 577-8900
Type: Location
Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481244089
Phone:
Type: Mailing
11512 LAKE MEAD AVE UNIT 534
JACKSONVILLE, FL 322565835
Phone: (904) 642-2222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $490.
Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Alcon Vision LLC ($314).
Total Amount
$490
General + Research + Ownership
Payments
17
Total payment records
General Amount
$490
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
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: 2022-10-25
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 |
|---|---|---|---|---|
| I20221025002178 | I | Ophthalmology | FL | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 343 | 338 | $0 |
| 92012 | Established patient problem focused exam of visual system | 287 | 214 | $0 |
| 92133 | Imaging of optic nerve | 123 | 120 | $0 |
| 92004 | New patient complete exam of visual system | 123 | 123 | $0 |
| 92083 | Exam of visual field with extended testing | 118 | 109 | $0 |
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL |
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