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

DR. OMAR HASAN
NPI 1124681705
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since April 18, 2019PECOS Enrolled
2500 N STATE ST # N408, JACKSON, MS 39216(601) 984-2828 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2023, Jan 4, 2023, Apr 18, 2019 (3 updates tracked since 2019).

About Dr. Omar Hasan NPPES

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

DR. OMAR HASAN (NPI 1124681705) is an individual student in an organized health care education/training program in Jackson, Mississippi, licensed in Mississippi (T-5146) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124681705
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OMAR HASAN
Location Address2500 N STATE ST # N408Jackson, MS 39216-4500
Mailing Address4639 Kirkley DrJackson, MS 39206-3301 · (210) 965-7501
Phone(601) 984-2828
Sole ProprietorNo
Enumeration DateApril 18, 2019
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1124681705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MS · T-5146
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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License ME160204 (FL)
2500 N STATE ST # N408, Jackson, MS 39216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Hasan 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 Hasan's NPI number?

The NPI number for Omar Hasan is 1124681705. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Omar Hasan located?

Omar Hasan practices at 2500 N State St # N408, Jackson, MS 39216. The listed phone number is (601) 984-2828.

What is Omar Hasan'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 Hasan enrolled in Medicare?

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

What insurance does Omar Hasan accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Omar Hasan 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 Hasan was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.