OMAR BAKHATY MD
NPI 1962909416
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 11, 2018PECOS Enrolled
501 E BROADWAY STE 100, LOUISVILLE, KY 40202(502) 852-1603 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omar Bakhaty Md NPPES

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

OMAR BAKHATY MD (NPI 1962909416) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962909416
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR BAKHATYCredential: MD
Location Address501 E BROADWAY STE 100Louisville, KY 40202-1797
Mailing Address501 E Broadway Ste 100Louisville, KY 40202-1797
Sole ProprietorNo
Enumeration DateApril 11, 2018
NPI 1962909416 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.

501 E BROADWAY STE 100, Louisville, KY 40202

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 Bakhaty 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 4

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

Student in an Organized Health Care Education/Training Program
501 E BROADWAY STE 100
LOUISVILLE, KY 40202
Emergency Medical Technician, Paramedic
501 E BROADWAY STE 100
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
501 E BROADWAY STE 100
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
501 E BROADWAY STE 100
LOUISVILLE, KY 40202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962909416, enumerated as an "individual" on April 11, 2018.

The provider is located at 501 E BROADWAY STE 100 LOUISVILLE, KY 40202 and the phone number is (502) 852-1603.

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