OMAR AMAYEM DO
NPI 1740942929
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 06, 2021PECOS Enrolled
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omar Amayem Do NPPES

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

OMAR AMAYEM DO (NPI 1740942929) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740942929
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR AMAYEMCredential: DO
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address5709 Normandy TerOklahoma City, OK 73142-1816 · (405) 412-1629
Sole ProprietorYes
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1740942929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1111 W 17TH ST, Tulsa, OK 74107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Omar Amayem Do 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.

Specialist (Research Study)
1111 W 17TH ST
TULSA, OK 74107
Clinical Medical Laboratory
1111 W 17TH ST, ATTN: JARRAD WAGNER
TULSA, OK 74107
Clinical Medical Laboratory
1111 W 17TH ST
TULSA, OK 74107
Specialist/Technologist (Athletic Trainer)
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740942929, enumerated as an "individual" on October 06, 2021.

The provider is located at 1111 W 17TH ST TULSA, OK 74107 and the phone number is (918) 582-1972.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.