FARES SAMRA (M.D.) – Plastic Surgery Physician, NPI 1598026148

FARES SAMRA (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 25MA10597500 (NJ). The NPI Number for FARES SAMRA (M.D.) is 1598026148

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
FARES SAMRA (M.D.)
NPI
1598026148
Phone
(215) 662-6156
Address
3400 Spruce St
Enumeration Date
30 May 2012
Last Update Date
29 May 2019

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7327392100
Graduation Year
2012 (14 years ago)
PAC ID
3476888447
Group Practice PAC ID
3274545330
Professional Enrollment ID
I20190712001199
Address ID
NJ077331513HO733XXSTXX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

394 PLASTIC AND RECONSTRUCTIVE SURGERY in PA

Provider Addresses for FARES SAMRA (M.D.)

  • 3400 Spruce St

    Philadelphia, PA 191044206

    Phone: (215) 662-6156

    Type: Location

  • 733 N BEERS ST STE U1

    HOLMDEL, NJ 077331513

    Phone: (732) 739-2100

    Fax: (732) 739-0815

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $16,016.

Total Amount is formed as General ($16,016) + Research ($0) + Ownership ($0) = $16,016.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: RTI SURGICAL, INC ($13,200).

Total Amount

$16,016

General + Research + Ownership

Payments

59

Total payment records

General Amount

$16,016

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2019-07-12

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
I20190712001199IPlastic And Reconstructive SurgeryNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7955$0
15734Creation of muscle graft to trunk6331$0
13102Complicated repair of wound of trunk, each additional 5.0 cm or less6125$0
99203New patient office or other outpatient visit, 30-44 minutes5959$0
13101Complicated repair of wound of trunk, 2.6-7.5 cm2928$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 3274545330View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryNJ
Plastic And Reconstructive SurgeryNJ
Plastic And Reconstructive SurgeryNJ
Physician AssistantPA
Plastic And Reconstructive Surgery, Hand SurgeryNJ
Physician AssistantVA
Plastic And Reconstructive Surgery, Hand SurgeryNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

What NPI should I save for FARES SAMRA (M.D.)?
Save NPI 1598026148 if you need a stable reference for FARES SAMRA (M.D.).
Is FARES SAMRA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does FARES SAMRA (M.D.) treat or focus on?
Patients typically see FARES SAMRA (M.D.) under the specialty Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does FARES SAMRA (M.D.) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for FARES SAMRA (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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