MOHAMMED SAMIUDDIN (M.D.) – Family Medicine Physician, NPI 1215152442

MOHAMMED SAMIUDDIN (M.D.) is a healthcare provider. based in Mesquite, Texas. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. M6862 (TX). The NPI Number for MOHAMMED SAMIUDDIN (M.D.) is 1215152442

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMED SAMIUDDIN (M.D.)
NPI
1215152442
Phone
(972) 279-7575
Address
1650 REPUBLIC PKWY
Enumeration Date
14 April 2007
Last Update Date
9 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4698006140
Graduation Year
1998 (28 years ago)
PAC ID
7214020700
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20070829000294
Address ID
TX750935363PL4708XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for MOHAMMED SAMIUDDIN (M.D.)

  • 1650 REPUBLIC PKWY

    ATTN: CREDENTIALING DEPT.

    MESQUITE, TX 751506916

    Phone: (972) 279-7575

    Fax: (972) 270-0197

    Type: Mailing

  • 1400 S COULTER ST

    AMARILLO, TX 791061786

    Phone: (806) 351-3777

    Fax: (806) 351-3765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $872.

Total Amount is formed as General ($872) + Research ($0) + Ownership ($0) = $872.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Exact Sciences Corporation ($194).

Total Amount

$872

General + Research + Ownership

Payments

42

Total payment records

General Amount

$872

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2007-08-29

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
I20070829000294IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,359848$0
36415Insertion of needle into vein for collection of blood sample1,146792$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit745745$0
99213Established patient office or other outpatient visit, 20-29 minutes487370$0
99215Established patient office or other outpatient visit, 40-54 minutes366318$0
View full utilization report →

Insurance plans in this area (ZIP 75150)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What NPI should I save for MOHAMMED SAMIUDDIN (M.D.)?
Save NPI 1215152442 if you need a stable reference for MOHAMMED SAMIUDDIN (M.D.).
Does this profile mean MOHAMMED SAMIUDDIN (M.D.) is currently active?
Yes — MOHAMMED SAMIUDDIN (M.D.) appears active in the national provider directory.
Can you summarize MOHAMMED SAMIUDDIN (M.D.)'s specialty in plain language?
Clinically, the directory lists MOHAMMED SAMIUDDIN (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MOHAMMED SAMIUDDIN (M.D.)'s primary listing?
We display Mesquite, Texas because that is what the record indicates for MOHAMMED SAMIUDDIN (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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