Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OMAR AL-SHUWAYKH M.D
NPI 1275967143
Internal Medicine - Gastroenterology in Walnut Creek, CA

Active since August 28, 2013PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-5758 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 13, 2026, Nov 10, 2023, Sep 25, 2018 (3 updates tracked since 2018).

About Omar Al-shuwaykh M.d NPPES

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

OMAR AL-SHUWAYKH M.D (NPI 1275967143) is an individual gastroenterology provider in Walnut Creek, California, licensed in California (A139572) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1275967143
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameOMAR AL-SHUWAYKHCredential: M.D
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address1425 S Main StWalnut Creek, CA 94596-5318
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 28, 2013
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1275967143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A139572
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1425 S MAIN ST, Walnut Creek, CA 94596

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Omar Al-shuwaykh M.d 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 ID749578185
PECOS Enrollment IDI20161018000619
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%245 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596

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 Al-shuwaykh's NPI number?

The NPI number for Omar Al-shuwaykh is 1275967143. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Omar Al-shuwaykh located?

Omar Al-shuwaykh practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-5758.

What is Omar Al-shuwaykh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Omar Al-shuwaykh enrolled in Medicare?

Yes. Omar Al-shuwaykh 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.

When was this NPI record last updated?

The NPPES record for Omar Al-shuwaykh was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.