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OMAR EZZEDIN MD
NPI 1255181012
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 25, 2024PECOS Enrolled
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omar Ezzedin Md NPPES

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

OMAR EZZEDIN MD (NPI 1255181012) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255181012
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR EZZEDINCredential: MD
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001
Phone(216) 444-2200
Sole ProprietorYes
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1255181012 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.
9500 EUCLID AVE # JJ24, Cleveland, OH 44195
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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 Ezzedin 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.

DR. BRANDY LEE SWEENEY DO
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
CHRISTOPHER JAMHOUR MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. RILEY LYNN WILKINSON MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. GUIDO ASCIONE MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
REBECCA LYNN PHILLIPS MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MR. CARL BOULOS M.D.
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ALISON JIN
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
TATINI MAL-SARKAR
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Ezzedin's NPI number?

The NPI number for Omar Ezzedin is 1255181012. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Omar Ezzedin located?

Omar Ezzedin practices at 9500 Euclid Ave # Jj24, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Omar Ezzedin'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 Ezzedin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Omar Ezzedin was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.