1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. OMAR ABDELRAHMAN DDS
NPI 1053937086
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 25, 2020PECOS Enrolled
4201 SAINT ANTOINE ST RM 2D, DETROIT, MI 48201(313) 745-4266 Get Directions Write a Review

NPPES record last updated: August 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Omar Abdelrahman Dds NPPES

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

DR. OMAR ABDELRAHMAN DDS (NPI 1053937086) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (2901601045) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053937086
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OMAR ABDELRAHMANCredential: DDS
Location Address4201 SAINT ANTOINE ST RM 2DDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine StDetroit, MI 48201-2153 · (313) 745-4697
Phone(313) 745-4266
Sole ProprietorNo
Enumeration DateJune 25, 2020
Last NPPES UpdateAugust 1, 2021
NPPES CertifiedAugust 1, 2021
✔ NPI 1053937086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 2901601045
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST RM 2D, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Abdelrahman Dds 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.

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 Omar Abdelrahman's NPI number?

The NPI number for Omar Abdelrahman is 1053937086. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Omar Abdelrahman located?

Omar Abdelrahman practices at 4201 Saint Antoine St Rm 2D, Detroit, MI 48201. The listed phone number is (313) 745-4266.

What is Omar Abdelrahman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Omar Abdelrahman enrolled in Medicare?

Yes. Omar Abdelrahman is registered in the Medicare PECOS enrollment system.

What insurance does Omar Abdelrahman accept?

Health plans from Delta Dental of Michigan list Omar Abdelrahman 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 Omar Abdelrahman was last updated on August 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.