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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
Phone(918) 582-1972
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

★ 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.

1111 W 17TH ST, Tulsa, OK 74107
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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)

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.

DR. BRUCE ALLEN BENJAMIN PH.D.
Specialist (Research Study)
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-1222
PREMIER LABS, LLC
Clinical Medical Laboratory
1111 W 17TH ST, ATTN: JARRAD WAGNER
TULSA, OK 74107
Tulsa County (541) 301-8476
STATE OF OKLAHOMA
Clinical Medical Laboratory
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-1421
GABRIEL JIMENEZ
Specialist/Technologist (Athletic Trainer)
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (504) 330-2592
JONATHAN HERRICK
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-8255
TYRUS SCHMALZ
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-8255
ALICIA TOMLIN DO
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
JOSHUA GEORGE
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Omar Amayem's NPI number?

The NPI number for Omar Amayem is 1740942929. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Omar Amayem located?

Omar Amayem practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Omar Amayem's specialty?

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

Is Omar Amayem enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Omar Amayem was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.