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OMAR AL WAHADNEH MBBS
NPI 1598439028
Internal Medicine in Urbana, IL

Active since August 07, 2021PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 383-3110 Get Directions Write a Review

NPPES record last updated: August 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omar Al Wahadneh Mbbs NPPES

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

OMAR AL WAHADNEH MBBS (NPI 1598439028) is an individual internal medicine provider in Urbana, Illinois, licensed in Illinois (125.078832) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1598439028
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOMAR AL WAHADNEHCredential: MBBS
Location Address611 W PARK STUrbana, IL 61801-2529
Mailing AddressPo Box 427Urbana, IL 61803-0427 · (224) 256-3145
Phone(217) 383-3110
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2021
NPPES CertifiedAugust 7, 2021
✔ NPI 1598439028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.078832
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 W PARK ST, Urbana, IL 61801
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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 and accepts Medicare assignment

Omar Al Wahadneh Mbbs 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 ID5193122323
PECOS Enrollment IDI20250610002504
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 Wahadneh's NPI number?

The NPI number for Omar Al Wahadneh is 1598439028. It was assigned to this individual provider in the NPPES registry on August 7, 2021.

Where is Omar Al Wahadneh located?

Omar Al Wahadneh practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3110.

What is Omar Al Wahadneh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Omar Al Wahadneh enrolled in Medicare?

Yes. Omar Al Wahadneh 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.

Is Omar Al Wahadneh affiliated with any hospitals?

According to CMS data, Omar Al Wahadneh is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Omar Al Wahadneh was last updated on August 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.