MUKTAR SHILLOW OMAR NP
NPI 1689529505
Nurse Practitioner - Family in Brooklyn Center, MN
About Muktar Shillow Omar Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUKTAR SHILLOW OMAR NP (NPI 1689529505) is an individual family provider in Brooklyn Center, Minnesota, licensed in Minnesota (13976) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Muktar Shillow Omar Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Muktar Omar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn Center, MN 55430
- Reassigned Medicare billing, Minnesota enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN CENTER, MN 55430
BROOKLYN CENTER, MN 55430
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 Muktar Omar's NPI number?
The NPI number for Muktar Omar is 1689529505. It was assigned to this individual provider in the NPPES registry on March 4, 2026.
Where is Muktar Omar located?
Muktar Omar practices at 6200 Shingle Creek Pkwy Ste 260, Brooklyn Center, MN 55430. The listed phone number is (763) 544-0696.
What is Muktar Omar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Muktar Omar enrolled in Medicare?
Yes. Muktar Omar 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.
Which organization bills Medicare for Muktar Omar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Muktar Omar reassigns Medicare benefits to Kidney Specialists Of Minnesota, PA (Brooklyn Center, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Muktar Omar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Muktar Omar accept?
Health plans from HealthPartners and Medica list Muktar Omar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Muktar Omar was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Muktar Shillow Omar, NP · NPI 1689529505
Family physician in Brooklyn Center, Minnesota. Individual provider, active in the CMS NPPES registry since March 4, 2026.
## Identity
- **NPI:** 1689529505 (Entity type: Individual)
- **Enumerated:** March 4, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13976 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6200 SHINGLE CREEK PKWY STE 260, Brooklyn Center, MN 55430-2128
- **Phone:** (763) 544-0696 · **Fax:** (763) 544-0984
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kidney Specialists Of Minnesota, PA (NPI 1629010228, Brooklyn Center, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689529505) · Data from the CMS NPPES public registry.