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MS. BIBI FALEENA KHAN SAMAD NP
NPI 1306668264
Nurse Practitioner - Adult Health in Hollis, NY

Active since October 30, 2024PECOS Enrolled
19605 DUNTON AVE, HOLLIS, NY 11423(929) 253-7545 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Bibi Faleena Khan Samad Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BIBI FALEENA KHAN SAMAD NP (NPI 1306668264) is an individual adult health provider in Hollis, New York, licensed in New York (F311342-01) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306668264
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. BIBI FALEENA KHAN SAMADCredential: NP
Location Address19605 DUNTON AVEHollis, NY 11423-1405
Mailing Address19605 Dunton AveHollis, NY 11423-1405 · (929) 253-7545
Phone(929) 253-7545
Sole ProprietorYes
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1306668264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F311342-01
19605 DUNTON AVE, Hollis, NY 11423
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bibi Faleena Khan Samad Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Bibi Samad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jds Medical Services PC
15 mi
Emergency Medicine
461 CUMBERLAND ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New York enrollment
  • 106 clinicians in this Medicare group
NPI 1174224653 (718) 534-0689
Medical Director Services PC
202 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bibi Samad's NPI number?

The NPI number for Bibi Samad is 1306668264. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Bibi Samad located?

Bibi Samad practices at 19605 Dunton Ave, Hollis, NY 11423. The listed phone number is (929) 253-7545.

What is Bibi Samad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bibi Samad enrolled in Medicare?

Yes. Bibi Samad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bibi Samad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bibi Samad reassigns Medicare benefits to 2 organizations: Jds Medical Services PC (Englewood, NJ) and Medical Director Services PC (Princess Anne, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bibi Samad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bibi Samad was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.