MR. OMAR MOSTAFA MOHAMED MOSTAFA
NPI 1619719481
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Omar Mostafa's NPI number?

The NPI number for Omar Mostafa is 1619719481. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Omar Mostafa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omar Mostafa was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 11, 2024PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-2922 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Jun 11, 2024 (2 updates tracked since 2024).

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About Mr. Omar Mostafa Mohamed Mostafa NPPES

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

MR. OMAR MOSTAFA MOHAMED MOSTAFA (NPI 1619719481) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619719481

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. OMAR MOSTAFA MOHAMED MOSTAFA

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454

Mailing Address2450 Riverside Ave S Ao-201, Academic Office BuildingMinneapolis, MN 55545

Phone(612) 626-2922

Sole ProprietorNo

Enumeration DateJune 11, 2024

Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration

✔ NPI 1619719481 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

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.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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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)

Mr. Omar Mostafa Mohamed Mostafa 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner