OMAR WAFIK EBRAHIM IBRAHIM MD
NPI 1225875883
Student in an Organized Health Care Education/Training Program in Columbus, MS

Q: What is Omar Ebrahim Ibrahim's NPI number?

The NPI number for Omar Ebrahim Ibrahim is 1225875883. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Q: What is Omar Ebrahim Ibrahim's specialty?

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

Active since July 11, 2024PECOS Enrolled

2520 5TH ST N, COLUMBUS, MS 39705(662) 244-1705 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Omar Wafik Ebrahim Ibrahim Md NPPES

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

OMAR WAFIK EBRAHIM IBRAHIM MD (NPI 1225875883) is an individual student in an organized health care education/training program in Columbus, Mississippi and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225875883

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameOMAR WAFIK EBRAHIM IBRAHIMCredential: MD

Location Address2520 5TH ST NColumbus, MS 39705-2008

Mailing Address2520 5th St NColumbus, MS 39705-2008 · (662) 244-1705

Phone(662) 244-1705

Sole ProprietorYes

Enumeration DateJuly 11, 2024

NPPES CertifiedJuly 11, 2024

✔ NPI 1225875883 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.

2520 5TH ST N, Columbus, MS 39705

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar Wafik Ebrahim Ibrahim 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.

SHAHEEM UR REHMAN MD

Student in an Organized Health Care Education/Training Program