Individual provider Active NPI

Sameh Fayek, MD

  • Surgery Physician
  • Torrance, CA
National Provider Identifier
1295889202
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A83958 Issued in CA
Practice address
25550 Hawthorne Blvd Ste 209
Torrance, CA 90505-6832
Phone
(310) 400-0645
Fax
(424) 270-6232
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X D0067999 MD
Transplant Surgery Physician 204F00000X 24202 ND
Transplant Surgery Physician 204F00000X Q4097 TX
Surgery Physician 208600000X MD428478 PA
Surgery Physician 208600000X A83958 CA Primary

Addresses

Primary practice location

25550 Hawthorne Blvd Ste 209
Torrance, CA 90505-6832

Mailing address

6504 Park LN
Dallas, TX 75225-2307
Phone (443) 986-1649

Other identifiers 1

IdentifierTypeStateIssuer
350261907MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, WV, ND4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190107002144 VA Practitioner - General Surgery 7214091719 Reassigns benefits to 1 organization
I20200826001190 CA Practitioner - General Surgery 7214091719
I20241112000638 WV Practitioner - General Surgery 7214091719 Reassigns benefits to 1 organization
I20260417003190 ND Practitioner - General Surgery 7214091719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

415 Morris St
Suite 100
Charleston, WV 25301-1840
Phone (304) 388-7822

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0067999MDMDTransplant Surgery Physician
24202NDMDTransplant Surgery Physician
A83958CAMDSurgery Physician
MD428478PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
House Health Inc Surgery CurrentSince Jan 17, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince May 25, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince May 25, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 1, 2018 Accepting new patients
Rush University Medical Center Past Accepting new patients
Ronald Glousman MD Medical Corporation Past Accepting new patients
Rush University Medical Center Transplant Surgery Past Accepting new patients
Precision Surgery Professional Corporation Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

25550 Hawthorne Blvd
Ste 209
Torrance, CA 90505

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

415 Morris St
Ste 100
Charleston, WV 25301
Phone (304) 342-3891

415 Morris St
Charleston, WV 25301
Phone (304) 388-6441

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1295889202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 PARK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752252307",
            "telephone_number": "443-986-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25550 HAWTHORNE BLVD STE 209",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056832",
            "telephone_number": "310-400-0645",
            "fax_number": "424-270-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYEK",
        "first_name": "SAMEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MD",
            "license": "D0067999",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "ND",
            "license": "24202",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "Q4097",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD428478",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A83958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350261907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.