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DR. OMAR IBN ABDUL-MALIK PA-C
NPI 1770786105
Physician Assistant in Washington, DC

Active since June 05, 2007PECOS Enrolled
219 PEABODY ST NW, WASHINGTON, DC 20011(202) 549-7136 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Omar Ibn Abdul-malik Pa-c NPPES

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

DR. OMAR IBN ABDUL-MALIK PA-C (NPI 1770786105) is an individual physician assistant in Washington, District Of Columbia, licensed in District Of Columbia (PA-30201) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770786105
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. OMAR IBN ABDUL-MALIKCredential: PA-C
Location Address219 PEABODY ST NWWashington, DC 20011-2215
Mailing Address219 Peabody St NwWashington, DC 20011-2215 · (202) 545-0502
Phone(202) 549-7136
Sole ProprietorNo
Enumeration DateJune 5, 2007
Last NPPES UpdateApril 16, 2015
✔ NPI 1770786105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in DC · PA-30201
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
219 PEABODY ST NW, Washington, DC 20011
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Other Identifiers 1

OtherPA-30201DC · Physician Assistant

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. Omar Ibn Abdul-malik Pa-c 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20011 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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

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

IBRAHIM ABDUL-MALIK
Technician (Personal Care Attendant)
219 PEABODY ST NW
WASHINGTON, DC 20011
District of Columbia (202) 716-8670

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 Abdul-malik's NPI number?

The NPI number for Omar Abdul-malik is 1770786105. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Omar Abdul-malik located?

Omar Abdul-malik practices at 219 Peabody St NW, Washington, DC 20011. The listed phone number is (202) 549-7136.

What is Omar Abdul-malik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Omar Abdul-malik enrolled in Medicare?

Yes. Omar Abdul-malik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omar Abdul-malik was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.