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MR. AYHAM AL-OMARI M.D.
NPI 1275376709
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 13, 2024PECOS Enrolled
4201 ST. ANTOINE ST. SUITE 6A, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About Mr. Ayham Al-omari M.d. NPPES

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

MR. AYHAM AL-OMARI M.D. (NPI 1275376709) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275376709
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. AYHAM AL-OMARICredential: M.D.
Location Address4201 ST. ANTOINE ST. SUITE 6ADetroit, MI 48201
Mailing Address4201 St. Antoine St. Suite 9cDetroit, MI 48201 · (313) 745-5147
Phone(313) 745-4627
Fax(313) 966-7305
Sole ProprietorNo
Enumeration DateJune 13, 2024
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
✔ NPI 1275376709 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.
4201 ST. ANTOINE ST. SUITE 6A, Detroit, MI 48201
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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)

Mr. Ayham Al-omari M.d. 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.

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 Ayham Al-omari's NPI number?

The NPI number for Ayham Al-omari is 1275376709. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Ayham Al-omari located?

Ayham Al-omari practices at 4201 St. Antoine St. Suite 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Ayham Al-omari's specialty?

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

Is Ayham Al-omari enrolled in Medicare?

Yes. Ayham Al-omari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayham Al-omari was last updated on August 1, 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.