Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMI KHALDIEH OD
NPI 1881368777
Optometrist in Herndon, VA

Active since August 04, 2021PECOS Enrolled
2539 JOHN MILTON DR, HERNDON, VA 20171(703) 239-6633 Get Directions Write a Review

NPPES record last updated: November 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 1, 2026, Aug 5, 2026, Nov 9, 2025 and 6 more (9 updates tracked since 2021).

About Dr. Sami Khaldieh Od NPPES

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

DR. SAMI KHALDIEH OD (NPI 1881368777) is an individual optometrist in Herndon, Virginia, licensed in Virginia (0618003054) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881368777
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMI KHALDIEHCredential: OD
Location Address2539 JOHN MILTON DRHerndon, VA 20171-2527
Mailing Address2539 John Milton DrHerndon, VA 20171-2527 · (703) 239-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 4, 2021
Last NPPES UpdateNovember 1, 20269 updates tracked since enumeration
NPPES CertifiedNovember 1, 2026
✔ NPI 1881368777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618003054
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2539 JOHN MILTON DR, Herndon, VA 20171

Secondary Practice Location 1

Location 12911 Hunter Mill Rd Ste 101Oakton, VA 22124-1719 · Phone (703) 239-6630

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sami Khaldieh Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800292673
PECOS Enrollment IDI20220207001070
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 Sami Khaldieh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
2539 JOHN MILTON DR
Herndon, VA 20171
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Beyond Eyecare
Optometrist
22000 DULLES RETAIL PLZ, STE. 168
Sterling, VA 20166
  • Reassigned Medicare billing, Virginia enrollment
  • 37 clinicians in this Medicare group

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20171 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 5

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

Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171

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 Sami Khaldieh's NPI number?

The NPI number for Sami Khaldieh is 1881368777. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Sami Khaldieh located?

Sami Khaldieh practices at 2539 John Milton Dr, Herndon, VA 20171. The listed phone number is (703) 239-6633.

What is Sami Khaldieh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sami Khaldieh enrolled in Medicare?

Yes. Sami Khaldieh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sami Khaldieh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sami Khaldieh reassigns Medicare benefits to 2 organizations: Solaire Vision Wellness, PLLC (Herndon, VA) and Dulles Optometry, LLC (Sterling, VA). 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 Sami Khaldieh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sami Khaldieh accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Sami Khaldieh 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 Sami Khaldieh was last updated on November 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.