OMAR ELWISHAHI MD
NPI 1568209435
General Practice in San Juan, PR

Active since July 09, 2024PECOS EnrolledAccepts Medicare Assignment
1451 AVE DR ASHFORD, SAN JUAN, PR 00907(787) 721-2160 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 4, 2026, Mar 21, 2026, Jul 9, 2024 (3 updates tracked since 2024).

About Omar Elwishahi Md NPPES

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

OMAR ELWISHAHI MD (NPI 1568209435) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (024855) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568209435
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameOMAR ELWISHAHICredential: MD
Location Address1451 AVE DR ASHFORDSan Juan, PR 00907
Mailing Address910 Calle Harvard Apt 2, Urbanizacion University GardensSan Juan, PR 00927-4810 · (925) 964-7710
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 9, 2024
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1568209435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 024855
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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 Elwishahi Md 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 ID3072086917
PECOS Enrollment IDI20260623002315
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1451 AVE DR ASHFORD, CONDADO
SAN JUAN, PR 00907
Surgery
1451 AVE DR ASHFORD, HOSPITAL LOBBY SURGERY CLINIC
SAN JUAN, PR 00907
Physician Assistant
1451 AVE DR ASHFORD
SAN JUAN, PR 00907
Nurse Practitioner (Family)
1451 AVE DR ASHFORD
SAN JUAN, PR 00907
Registered Nurse
1451 AVE DR ASHFORD
SAN JUAN, PR 00907

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 Elwishahi's NPI number?

The NPI number for Omar Elwishahi is 1568209435. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Omar Elwishahi located?

Omar Elwishahi practices at 1451 Ave Dr Ashford, San Juan, PR 00907. The listed phone number is (787) 721-2160.

What is Omar Elwishahi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Omar Elwishahi enrolled in Medicare?

Yes. Omar Elwishahi 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 Elwishahi was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.