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DR. OMAR AL DAOUD MD
NPI 1083453005
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since May 20, 2024PECOS Enrolled
11885 E 12 MILE RD STE 200B, WARREN, MI 48093(586) 582-6630(586) 582-6631 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Omar Al Daoud Md NPPES

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

DR. OMAR AL DAOUD MD (NPI 1083453005) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1083453005
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OMAR AL DAOUDCredential: MD
Location Address11885 E 12 MILE RD STE 200BWarren, MI 48093-3469
Mailing Address11885 E 12 Mile Rd Ste 200bWarren, MI 48093-3469 · (586) 582-6630 · Fax (586) 582-6631
Phone(586) 582-6630
Fax(586) 582-6631
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1083453005 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
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.
11885 E 12 MILE RD STE 200B, Warren, MI 48093
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Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (484) 622-1000

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 Al Daoud Md 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.

Other Providers at the Same Location NPPES 20

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

BASSEL ALKHATIB MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DAVID CARROLL
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
SHUROUK KATTAN RAHMANI MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DR. SHAILAJA DEVI ABBISETTY MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
JACOB ROBERT KLEIN M.D.
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
PRATYUSHA VELDHI DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
AHMED HUSSAIN MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
YAZEED KHALED ALMAET MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630

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 Al Daoud's NPI number?

The NPI number for Omar Al Daoud is 1083453005. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Omar Al Daoud located?

Omar Al Daoud practices at 11885 E 12 Mile Rd Ste 200B, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Omar Al Daoud'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 Al Daoud enrolled in Medicare?

Yes. Omar Al Daoud is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omar Al Daoud was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.