Deactivated NPI 1356432686 Deactivated / Inactive NPI Male Practitioner

Dr. Samir I Fasheh , MD

General Practice • Lancaster, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samir Fasheh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006

NPI Deactivation Date January 24, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Samir Fasheh, MD was a registered General Practice practicing in Lancaster, CA. Throughout an active medical career spanning 18 years, Dr. Fasheh provided care at the practice location at 43845 N 10TH ST W until profile deactivation on 2024-01-24.

Historical Medicare Part B clinical services included insertion of cage or mesh device to spine bone and disc space during spine fusion, harvest of bone marrow for spine surgery graft, fusion of upper spine bone with removal of disc and release of spinal cord or nerve. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

43845 N 10th St W
Suite 2e

Lancaster, CA 93534

Telephone 6619401469

Fax 6619439809

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lancaster, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Lancaster, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	48	21	$451.10	$44.17
20939 Harvest of bone marrow for spine surgery graft	11	11	$73.43	$11.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	115	42	$451.10	$43.78
20939 Harvest of bone marrow for spine surgery graft	37	37	$73.43	$11.52
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	37	17	$500.00	$67.23
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	12	$421.12	$35.78
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	32	20	$989.37	$83.95
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$3702.47	$316.61
22614 Fusion of additional segment of spine	24	12	$649.60	$66.22
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$1502.11	$129.42
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$1400.00	$291.06
22600 Fusion of spine in neck by posterior approach	12	12	$2155.53	$184.61
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	12	12	$2153.34	$128.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	130	46	$451.10	$42.71
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	51	24	$500.00	$67.24
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	30	19	$989.37	$84.01
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	24	24	$1400.00	$291.20
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$3702.47	$316.64
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$1502.11	$129.38
20939 Harvest of bone marrow for spine surgery graft	17	17	$73.43	$11.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	174	56	$451.10	$44.70
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	69	29	$500.00	$68.37
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	31	22	$957.45	$85.38
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	29	29	$1400.00	$295.38
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$3856.74	$320.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$1502.11	$131.26
61618 Repair of brain covering by tissue or synthetic graft	15	15	$400.00	$111.70

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A48506

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

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NPI Profile Deactivated January 24, 2024

Record deactivated on January 24, 2024

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Updated Practice Location July 02, 2019

Registered at 2625 W AVENUE O12, PALMDALE, CA 935513425 (Tel: 6619743626)

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Updated Business Mailing Address July 02, 2019

Registered at 2625 W AVENUE O12, PALMDALE, CA 935513425 (Tel: 6619743626)

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 43845 N 10TH ST W, SUITE 2E, LANCASTER, CA 93534 (Tel: 6619401469)

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Updated Business Mailing Address July 08, 2007

Registered at 4012 DEE DEE COURT, LANCASTER, CA 93536 (Tel: 6619401469)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAMIR FASHEH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #A48506 in CA)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356432686

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 28, 2006

Last Update: July 08, 2007

Deactivation Date: January 24, 2024

Update or Correct Profile

Mailing Address

4012 Dee Dee Court

Lancaster, CA 93536

Phone: 6619401469

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.