SAMIR KHANJAR (MD) – Obstetrics & Gynecology Physician, NPI 1801847736
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
238 OBSTETRICS/GYNECOLOGY in RI
Provider Addresses for SAMIR KHANJAR (MD)
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 029054541
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
11 FRIENDSHIP ST
NEWPORT, RI 028402209
Phone: (401) 845-1652
Type: Location
Elkton Post Office, Weathers Lane, Elkton, Todd County, Kentucky, 42220, United States
ELKTON, MD 219216435
Phone: (410) 398-0590
Type: Mailing
Pulaski Professional Center, 300, East Pulaski Highway, Normira Heights, Elkton, Cecil County, Maryland, 21921, United States
SUITE 112
ELKTON, MD 219216435
Phone: (410) 392-6033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20040806000236 | I | Obstetrics/Gynecology | MD | TBD |
| I20200910000268 | I | Obstetrics/Gynecology | IN | TBD |
| I20201001001669 | I | Obstetrics/Gynecology | NY | TBD |
| I20220216000412 | I | Obstetrics/Gynecology | DC | TBD |
| I20231221000108 | I | Obstetrics/Gynecology | MA | TBD |
| I20250115001598 | I | Obstetrics/Gynecology | NJ | TBD |
| I20250204001407 | I | Obstetrics/Gynecology | VA | TBD |
| I20250513000697 | I | Obstetrics/Gynecology | RI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02905)
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