DR. BASSAM ABDUL-QADIR SHAWAMREH MD
NPI 1689478703
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Bassam Shawamreh's NPI number?

The NPI number for Bassam Shawamreh is 1689478703. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Bassam Shawamreh'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 Bassam Shawamreh was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 April 01, 2025PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000(910) 667-5650 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Bassam Abdul-qadir Shawamreh Md NPPES

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

DR. BASSAM ABDUL-QADIR SHAWAMREH MD (NPI 1689478703) is an individual student in an organized health care education/training program in Wilmington, North Carolina and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689478703

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BASSAM ABDUL-QADIR SHAWAMREHCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing Address2131 S 17th StWilmington, NC 28401-7407 · (910) 343-7000 · Fax (910) 667-5650

Phone(910) 343-7000

Fax(910) 667-5650

Sole ProprietorNo

Enumeration DateApril 1, 2025

NPPES CertifiedApril 1, 2025

✔ NPI 1689478703 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.

2131 S 17TH ST, Wilmington, NC 28401

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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)

Dr. Bassam Abdul-qadir Shawamreh 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.

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