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MOHAMED OMAR
NPI 1639881501
Nurse Practitioner - Family in Minneapolis, MN

Active since December 22, 2022PECOS Enrolled
1516 E LAKE ST STE 1512, MINNEAPOLIS, MN 55407(612) 345-4929 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mohamed Omar NPPES

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

MOHAMED OMAR (NPI 1639881501) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (2466238) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639881501
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMOHAMED OMAR
Location Address1516 E LAKE ST STE 1512Minneapolis, MN 55407-1997
Mailing Address1516 E Lake St Ste 1512Minneapolis, MN 55407-1997 · (612) 345-4929
Phone(612) 345-4929
Sole ProprietorYes
Enumeration DateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1639881501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 2466238
1516 E LAKE ST STE 1512, Minneapolis, MN 55407
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamed Omar 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

ZAHRA ROBLE
Nurse Practitioner (Gerontology)
1516 E LAKE ST STE 1512
MINNEAPOLIS, MN 55407
Hennepin County (651) 361-0029
MEDINA MEDICAL CLINIC & URGENT CARE
Family Medicine
1516 E LAKE ST STE 1512
MINNEAPOLIS, MN 55407
Hennepin County (651) 361-0029

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 Mohamed Omar's NPI number?

The NPI number for Mohamed Omar is 1639881501. It was assigned to this individual provider in the NPPES registry on December 22, 2022.

Where is Mohamed Omar located?

Mohamed Omar practices at 1516 E Lake St Ste 1512, Minneapolis, MN 55407. The listed phone number is (612) 345-4929.

What is Mohamed Omar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mohamed Omar enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mohamed Omar was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.