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OMAR KHALED SHAHIN
NPI 1205464807
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3274 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Mar 30, 2020 (2 updates tracked since 2020).

About Omar Khaled Shahin NPPES

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

OMAR KHALED SHAHIN (NPI 1205464807) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains a secondary practice location in Bowling Green.

NPPES Registry Identity

NPI1205464807
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR KHALED SHAHIN
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address4445 Magnolia AveRiverside, CA 92501-4135
Phone(951) 788-3274
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1205464807 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
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 ListedInternal MedicineTaxonomy 207R00000X · License 05485 (KY)
4445 MAGNOLIA AVE, Riverside, CA 92501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1250 Park StBowling Green, KY 42101-1760 · Phone (270) 796-6540

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Khaled Shahin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921590068
PECOS Enrollment IDI20251201001339
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

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.

MR. DAVID W LEVINE PA-C
Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3381
STEVEN GREGORY PARKIN MD
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
JAGMEET SINGH ARORA
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 966-8398
ASHFI HOQUE
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 495-9994
ALINA S POPA MD
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3636
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3400
SUPRIYA ANJALI BHUPATHY
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 786-5350
RUSHIL ANIL PATEL
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000

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 Shahin's NPI number?

The NPI number for Omar Shahin is 1205464807. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Omar Shahin located?

Omar Shahin practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 788-3274.

What is Omar Shahin'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 Shahin enrolled in Medicare?

Yes. Omar Shahin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Omar Shahin affiliated with any hospitals?

According to CMS data, Omar Shahin is affiliated with The Medical Center (bowling Green).

When was this NPI record last updated?

The NPPES record for Omar Shahin was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.