MAZEN BASSAM OMAR (MD) – Psychiatry Physician, NPI 1114488467
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
336 PSYCHIATRY in AL
Provider Addresses for MAZEN BASSAM OMAR (MD)
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 366172300
Phone: (251) 461-4243
Fax: (251) 450-4323
Type: Location
1015, Montlimar Drive, Mobile Festival Center, Mobile, Mobile County, Alabama, 36609, United States
MOBILE, AL 366091713
Phone: (251) 461-4243
Fax: (251) 450-4323
Type: Mailing
203 WEST AVALON AVE STE 100
MUSCLE SHOALS, AL 35661
Phone: (256) 386-4940
Fax: (256) 386-4944
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-03-27 • Largest payer in this snapshot: Corium, LLC ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221025003069 | I | Psychiatry | AL | TBD |
| I20250920000690 | I | Psychiatry | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | AL | |
| General Surgery | AL | |
| P S Y C H I A T R Y | ND | |
| Nurse Practitioner | AL | |
| Interventional Pain Management | TN | |
| Internal Medicine | AZ | |
| P S Y C H I A T R Y | DE | |
| Nurse Practitioner | AL | |
| Plastic And Reconstructive Surgery | AL |
Reviews
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