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DR. SAMIR S KEBLAWI MD
NPI 1790777472
Pediatrics in Mineral Wells, TX

Active since August 18, 2005PECOS Enrolled
202 SW 25TH AVE, MINERAL WELLS, TX 76067(940) 463-7237(940) 463-7240 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2025, Nov 18, 2020 (2 updates tracked since 2020).

About Dr. Samir S Keblawi Md NPPES

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

DR. SAMIR S KEBLAWI MD (NPI 1790777472) is an individual pediatrics provider in Mineral Wells, Texas, licensed in Texas (V6962) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790777472
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMIR S KEBLAWICredential: MD
Location Address202 SW 25TH AVEMineral Wells, TX 76067-8298
Mailing Address202 Sw 25th AveMineral Wells, TX 76067-8298 · (940) 463-7237 · Fax (940) 463-7240
Phone(940) 463-7237
Fax(940) 463-7240
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1790777472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · V6962
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
202 SW 25TH AVE, Mineral Wells, TX 76067
Open in Google Maps ↗

Other Identifiers 1

Medicaid8018798WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samir S Keblawi Md 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 Reassignment

Medicare enrollment records show Samir Keblawi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palo Pinto County Hospital District
0.3 mi
Hospitalist
400 SW 25TH AVE
Mineral Wells, TX 76067
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1104874767 (940) 325-7891

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76067 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATARINA LINDLEY D.O.
Family Medicine
202 SW 25TH AVE, SUITE 300
MINERAL WELLS, TX 76067
Palo Pinto County (940) 328-6521
TEXAS HEALTHY AGING AND HORMONE THERAPY LLC
Family Medicine
202 SW 25TH AVE, SUITE 1200
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-3706
DR. CANDACE YVONNE COVINGTON M.D.
Surgery
202 SW 25TH AVE, SUITE 600
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-4925
PALO PINTO COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
202 SW 25TH AVE, SUITE 300
MINERAL WELLS, TX 76067
Palo Pinto County (940) 328-6521
MARK BRENNAN REIMER M.D.
Obstetrics & Gynecology
202 SW 25TH AVE, SUITE 1000
MINERAL WELLS, TX 76067
Palo Pinto County (940) 328-6521
PALO PINTO ORTHOPEDIC SPECIALISTS, P.A.
Orthopaedic Surgery
202 SW 25TH AVE, STE 1300
MINERAL WELLS, TX 76067
Palo Pinto County (940) 328-7507
JAMES E. CAWLEY, M.D., P.A.
Obstetrics & Gynecology
202 SW 25TH AVE, SUITE 900
MINERAL WELLS, TX 76067
Palo Pinto County (940) 549-8505

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 Samir Keblawi's NPI number?

The NPI number for Samir Keblawi is 1790777472. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Samir Keblawi located?

Samir Keblawi practices at 202 SW 25th Ave, Mineral Wells, TX 76067. The listed phone number is (940) 463-7237.

What is Samir Keblawi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samir Keblawi enrolled in Medicare?

Yes. Samir Keblawi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samir Keblawi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Keblawi reassigns Medicare benefits to Palo Pinto County Hospital District (Mineral Wells, TX). The 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 Samir Keblawi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samir Keblawi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Samir Keblawi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samir Keblawi was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.