DR. SAMIKSHA FOUZDAR JAIN MD
NPI 1922524826
Ophthalmology in Omaha, NE

Active since August 22, 2017PECOS Enrolled
3902 LEAVENWORTH ST, OMAHA, NE 68105(402) 559-2020 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2019, Aug 22, 2017 (2 updates tracked since 2017).

About Dr. Samiksha Fouzdar Jain Md NPPES

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

DR. SAMIKSHA FOUZDAR JAIN MD (NPI 1922524826) is an individual ophthalmology provider in Omaha, Nebraska, licensed in Nebraska (31600) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1922524826
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SAMIKSHA FOUZDAR JAINCredential: MD
Location Address3902 LEAVENWORTH STOmaha, NE 68105-1119
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 22, 2017
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1922524826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NE · 31600
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3902 LEAVENWORTH ST, Omaha, NE 68105

Accepted 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. Samiksha Fouzdar Jain Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173867686
PECOS Enrollment IDI20251231001314
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 Samiksha Fouzdar Jain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
Ophthalmology
2680 GEORGE DIETER DR
El Paso, TX 79936
  • Reassigned Medicare billing, Texas enrollment
  • 13 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68105 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 16

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

Ophthalmology
3902 LEAVENWORTH ST
OMAHA, NE 68105
Ophthalmology (Neuro-ophthalmology)
3902 LEAVENWORTH ST
OMAHA, NE 68105
Ophthalmology
3902 LEAVENWORTH ST
OMAHA, NE 68105
Optometrist
3902 LEAVENWORTH ST
OMAHA, NE 68105
Physician Assistant
3902 LEAVENWORTH ST
OMAHA, NE 68105
Ophthalmology
3902 LEAVENWORTH ST
OMAHA, NE 68105
Eyewear Supplier
3902 LEAVENWORTH ST
OMAHA, NE 68105
Ophthalmology
3902 LEAVENWORTH ST
OMAHA, NE 68105

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 Samiksha Fouzdar Jain's NPI number?

The NPI number for Samiksha Fouzdar Jain is 1922524826. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Samiksha Fouzdar Jain located?

Samiksha Fouzdar Jain practices at 3902 Leavenworth St, Omaha, NE 68105. The listed phone number is (402) 559-2020.

What is Samiksha Fouzdar Jain's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Samiksha Fouzdar Jain enrolled in Medicare?

Yes. Samiksha Fouzdar Jain is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samiksha Fouzdar Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samiksha Fouzdar Jain reassigns Medicare benefits to 2 organizations: Unmc Physicians (Omaha, NE) and Total Care PLLC (El Paso, TX). 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 Samiksha Fouzdar Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samiksha Fouzdar Jain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Nebraska and 4 other insurers list Samiksha Fouzdar Jain 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 Samiksha Fouzdar Jain was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.