OMAR ABDULRAZZAQ MD
NPI 1275267916
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Omar Abdulrazzaq's NPI number?

The NPI number for Omar Abdulrazzaq is 1275267916. It was assigned to this individual provider in the NPPES registry on July 9, 2022.

Q: What is Omar Abdulrazzaq's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omar Abdulrazzaq was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 09, 2022PECOS Enrolled

5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-3433 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Jul 9, 2022 (2 updates tracked since 2022).

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About Omar Abdulrazzaq Md NPPES

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

OMAR ABDULRAZZAQ MD (NPI 1275267916) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275267916

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameOMAR ABDULRAZZAQCredential: MD

Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-7200

Mailing Address5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200 · (214) 648-3433

Phone(214) 648-3433

Sole ProprietorNo

Enumeration DateJuly 9, 2022

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1275267916 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.

5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390

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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 Abdulrazzaq 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. JOSEPH KASSAB MD, MS

Student in an Organized Health Care Education/Training Program