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DR. OMAR KHALIFE DPM
NPI 1194428995
Student in an Organized Health Care Education/Training Program in West Covina, CA

Active since March 22, 2023PECOS Enrolled
1136 PROMONTORY PL, WEST COVINA, CA 91791(626) 260-0183 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Omar Khalife Dpm NPPES

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

DR. OMAR KHALIFE DPM (NPI 1194428995) is an individual student in an organized health care education/training program in West Covina, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2023).

NPPES Registry Identity

NPI1194428995
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OMAR KHALIFECredential: DPM
Location Address1136 PROMONTORY PLWest Covina, CA 91791-3462
Mailing Address1136 Promontory PlWest Covina, CA 91791-3462 · (626) 260-0183
Phone(626) 260-0183
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2023
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1194428995 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.
1136 PROMONTORY PL, West Covina, CA 91791
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Khalife Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991261257
PECOS Enrollment IDI20260728002975
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.

Medicare Billing Reassignment

Medicare enrollment records show Omar Khalife reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Foundation Medical Group
218 mi
Orthopaedic Surgery
2151 HERNDON AVE STE 105
Fresno, CA 93611
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group
NPI 1376056721 (559) 256-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Khalife's NPI number?

The NPI number for Omar Khalife is 1194428995. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Omar Khalife located?

Omar Khalife practices at 1136 Promontory Pl, West Covina, CA 91791. The listed phone number is (626) 260-0183.

What is Omar Khalife'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 Khalife enrolled in Medicare?

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

Which organization bills Medicare for Omar Khalife's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Khalife reassigns Medicare benefits to Community Foundation Medical Group (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omar Khalife's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Omar Khalife was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.