SAMIR K KASSICIEH, DO, PC
NPI 1649430802
Family Medicine in Albuquerque, NM
About Samir K Kassicieh, Do, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMIR K KASSICIEH, DO, PC (NPI 1649430802) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Samir K Kassicieh, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samir K Kassicieh, Do, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Samir K Kassicieh, Do, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D0673748
Samir K Kassicieh Do · Albuquerque, NMFrequently 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 Samir K Kassicieh, Do, PC's NPI number?
The NPI number for Samir K Kassicieh, Do, PC is 1649430802. It was assigned to this organization in the NPPES registry on June 11, 2008.
Where is Samir K Kassicieh, Do, PC located?
Samir K Kassicieh, Do, PC is located at 1010 Bridge Blvd SW Suite A, Albuquerque, NM 87105. The listed phone number is (505) 877-0212.
What is Samir K Kassicieh, Do, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samir K Kassicieh, Do, PC enrolled in Medicare?
Yes. Samir K Kassicieh, Do, PC is registered in the Medicare PECOS enrollment system.
When is Samir K Kassicieh, Do, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Samir K Kassicieh, Do, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Samir K Kassicieh, Do, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Samir K Kassicieh, Do, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D0673748) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Samir K Kassicieh, Do, PC was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Samir K Kassicieh, Do, Pc · NPI 1649430802
Family Medicine organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since June 11, 2008.
## Identity
- **NPI:** 1649430802 (Entity type: Organization)
- **Enumerated:** June 11, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samir Kassicieh, OWNER
## Practice location
- **Address:** 1010 BRIDGE BLVD SW, SUITE A, Albuquerque, NM 87105-3765
- **Phone:** (505) 877-0212 · **Fax:** (505) 877-0139
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2008
- **Other identifiers:** Medicaid 40279 (NM); Medicare PIN NMB2097; Medicare UPIN D43194
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649430802) · Data from the CMS NPPES public registry.