DR. OMAR AZRAK MD
NPI 1356143226
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since March 24, 2025PECOS Enrolled
2800 MAIN ST, BRIDGEPORT, CT 06606(203) 576-6000 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 27, 2026, Apr 17, 2026, Mar 24, 2025 (3 updates tracked since 2025).

About Dr. Omar Azrak Md NPPES

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

DR. OMAR AZRAK MD (NPI 1356143226) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooksville.

NPPES Registry Identity

NPI1356143226
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OMAR AZRAKCredential: MD
Location Address2800 MAIN STBridgeport, CT 06606-4292
Mailing Address2800 Main StBridgeport, CT 06606-4292 · (919) 884-8733
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1356143226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2800 MAIN ST, Bridgeport, CT 06606

Secondary Practice Location 1

Location 111375 Cortez BlvdBrooksville, FL 34613-5409 · Phone (919) 884-8733

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Azrak 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.

Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Family Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Physician Assistant (Medical)
2800 MAIN ST
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606

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 Azrak's NPI number?

The NPI number for Omar Azrak is 1356143226. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Omar Azrak located?

Omar Azrak practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (203) 576-6000.

What is Omar Azrak'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 Azrak enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Omar Azrak was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.