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MOHAMMAD OUSSAMA ALI MD
NPI 1568130847
Student in an Organized Health Care Education/Training Program in Omaha, NE

Active since September 01, 2021PECOS Enrolled
4350 DEWEY AVE, OMAHA, NE 68105(402) 552-2000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mohammad Oussama Ali Md NPPES

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

MOHAMMAD OUSSAMA ALI MD (NPI 1568130847) is an individual student in an organized health care education/training program in Omaha, Nebraska, licensed in Nebraska (36266) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568130847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMMAD OUSSAMA ALICredential: MD
Location Address4350 DEWEY AVEOmaha, NE 68105-1017
Mailing Address4915 S 202nd Ave Apt 2Omaha, NE 68135-3930 · (605) 214-1656
Phone(402) 552-2000
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1568130847 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
License✔ Licensed in NE · 36266
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.
4350 DEWEY AVE, Omaha, NE 68105
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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)

Mohammad Oussama Ali 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.

JENNIFER MATHER
Nurse Practitioner (Neonatal, Critical Care)
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 559-4442
BENJAMIN M WICHERT
Student in an Organized Health Care Education/Training Program
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 559-6673
MAGGIE YANHUACUI YANG PAC
Physician Assistant (Surgical)
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 559-8363
BREANNE BRESTER PA-C
Physician Assistant
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 552-2000
KIERSTEN LEIGHA LONGCHAMPS AGACNP/APRN
Nurse Practitioner
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 552-2000
ELIZABETH RACHEL WEST
Counselor (Mental Health)
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 651-8761
JACQUELINE DAUCH
Transplant Surgery
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (402) 559-4344
JAMIE SUSANNE REYNOLDS PHARM.D.
Pharmacist (Psychiatric)
4350 DEWEY AVE
OMAHA, NE 68105
Douglas County (913) 488-9643

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 Mohammad Ali's NPI number?

The NPI number for Mohammad Ali is 1568130847. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Mohammad Ali located?

Mohammad Ali practices at 4350 Dewey Ave, Omaha, NE 68105. The listed phone number is (402) 552-2000.

What is Mohammad Ali's specialty?

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

Is Mohammad Ali enrolled in Medicare?

Yes. Mohammad Ali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Ali was last updated on June 26, 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.