OMAR AYMAN SOUBANI DO
NPI 1255995346
Psychiatry & Neurology - Psychiatry in Detroit, MI

Q: What is Omar Soubani's NPI number?

The NPI number for Omar Soubani is 1255995346. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Omar Soubani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Omar Soubani was last updated on July 24, 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.

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment

3901 CHRYSLER SERVICE DRIVE, DETROIT, MI 48201(313) 577-7523(313) 577-8823 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2023, Feb 26, 2021, Apr 24, 2019 (3 updates tracked since 2019).

On this page

About Omar Ayman Soubani Do NPPES

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

OMAR AYMAN SOUBANI DO (NPI 1255995346) is an individual psychiatry provider in Detroit, Michigan, licensed in Michigan (5101026891) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1255995346

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameOMAR AYMAN SOUBANICredential: DO

Location Address3901 CHRYSLER SERVICE DRIVEDetroit, MI 48201-2167

Mailing Address3901 Chrysler Service DriveDetroit, MI 48212

Phone(313) 577-7523

Fax(313) 577-8823

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2019

Enumeration DateApril 24, 2019

Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1255995346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 5101026891

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3901 CHRYSLER SERVICE DRIVE, Detroit, MI 48201

Open in Google Maps ↗

Secondary Practice Location 1

Location 127998 Trailwood CtFarmington Hills, MI 48331-2946 · Phone (248) 766-3041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Ayman Soubani Do 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 ID3779816574

PECOS Enrollment IDI20220815001703

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 Reassignments

Medicare enrollment records show Omar Soubani reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Group

Same address

Counselor

3901 CHRYSLER DR, TOLAN PARK
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
731 clinicians in this Medicare group

NPI 1447465661 (313) 993-3434

Wayne County Treasurer-Payroll County Of Wayne

2.7 mi

Federally Qualified Health Center (FQHC)

9021 JOSEPH CAMPAU ST
Hamtramck, MI 48212

Reassigned Medicare billing, Michigan enrollment
24 clinicians in this Medicare group

NPI 1700215977 (313) 871-1926

Neighborhood Service Organization

4.7 mi

Community/Behavioral Health

882 OAKMAN BLVD, STE. C
Detroit, MI 48238

Reassigned Medicare billing, Michigan enrollment
50 clinicians in this Medicare group

NPI 1891825808 (313) 961-4890

Dma Urgent Care, PLLC

11 mi

Urgent Care

2300 BIDDLE AVE STE 200
Wyandotte, MI 48192

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Ghazwan Atto MD PC
22 clinicians in this Medicare group

NPI 1962953216 (734) 246-5705

State Of Michigan Office Of Financial Management

20 mi

Psychiatric Hospital

18471 HAGGERTY RD
Northville, MI 48168

Reassigned Medicare billing, Michigan enrollment
96 clinicians in this Medicare group

NPI 1508883299 (248) 369-2300

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

143 services57 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

90 services83 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services12 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230104

Location3990 John R StreetDetroit, MI 48201 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230273

Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANHA SHAH MD

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER SERVICE DRIVE
DETROIT, MI 48201

Wayne County (313) 577-0714

LAUREN MARIE SEXTON LLMSW

Social Worker (Clinical)

3901 CHRYSLER SERVICE DRIVE, STE. 3B
DETROIT, MI 48201

Wayne County (313) 577-1396

THOMAS MARK KRAMER MD

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER SERVICE DRIVE, SUITE 5-A
DETROIT, MI 48201

Wayne County (313) 966-3300

MRS. MELISSA GRAVES-CLAPP LLMSW

Counselor (Addiction (Substance Use Disorder))

3901 CHRYSLER SERVICE DRIVE, STE. 1A
DETROIT, MI 48201

Wayne County (313) 993-3964

MISS JANANIE KUMARAN M.D.

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER SERVICE DRIVE, SUITE 5-A, 538-4
DETROIT, MI 48201

Wayne County (313) 577-7523

LEEN MOH'D MAH'D AMRO M.D.

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER SERVICE DRIVE, SUITE 5A, ROOM 538.5
DETROIT, MI 48201

Wayne County (313) 993-3416

NATALIE SADIK M.D.

Psychiatry & Neurology (Psychiatry)

3901 CHRYSLER SERVICE DRIVE, SUITE 3A
DETROIT, MI 48201

Wayne County (313) 993-3416

GRETCHEN SNOEYENBOS NEWMAN MD

Internal Medicine (Infectious Disease)

3901 CHRYSLER SERVICE DRIVE, SUITE 4A
DETROIT, MI 48201

Wayne County (339) 832-8854

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 Soubani's NPI number?

The NPI number for Omar Soubani is 1255995346. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Omar Soubani located?

Omar Soubani practices at 3901 Chrysler Service Drive, Detroit, MI 48201. The listed phone number is (313) 577-7523.

What is Omar Soubani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Omar Soubani enrolled in Medicare?

Yes. Omar Soubani 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.

Which organizations bill Medicare for Omar Soubani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Soubani reassigns Medicare benefits to 5 organizations: University Physician Group (Detroit, MI), Wayne County Treasurer-Payroll County Of Wayne (Hamtramck, MI), Neighborhood Service Organization (Detroit, MI), Dma Urgent Care, PLLC (Wyandotte, MI) and State Of Michigan Office Of Financial Management (Northville, MI). Each 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 Soubani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Soubani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Omar Soubani 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.

Is Omar Soubani affiliated with any hospitals?

According to CMS data, Omar Soubani is affiliated with Harper University Hospital, Beaumont Hospital Royal Oak and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Omar Soubani was last updated on July 24, 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.