DR. SAMIR S KEBLAWI (MD) – Pediatrics Physician, NPI 1790777472
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
648 PEDIATRIC MEDICINE in WA
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Provider Addresses for DR. SAMIR S KEBLAWI (MD)
PO BOX 3649
SPOKANE, WA 992203649
Phone:
Type: Mailing
605, East Holland Avenue, Spokane, Spokane County, Washington, 99218, United States
SUITE 200
SPOKANE, WA 992182225
Phone: (509) 838-2531
Type: Location
202 SW 25TH AVE
MINERAL WELLS, TX 760678298
Phone: (940) 463-7237
Fax: (940) 463-7240
Type: Mailing
611 N IRON BRIDGE WAY
SPOKANE, WA 992024932
Phone: (509) 444-8888
Type: Mailing
15812 E INDIANA AVE
SPOKANE VALLEY, WA 992161875
Phone: (509) 444-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: PFIZER INC. ($36).
Total Amount
$165
General + Research + Ownership
Payments
8
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
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: 2025-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040713001083 | I | Pediatric Medicine | WA | TBD |
| I20250630002081 | I | Pediatric Medicine | TX | 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 99220)
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