DR. OMAR SHAHBAZ (M.D., M.S.) – Gastroenterology Physician, NPI 1417226366

DR. OMAR SHAHBAZ (M.D., M.S.) is a healthcare provider. based in Barstow, California. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D., M.S.. They hold a License No. A151553 (CA). The NPI Number for DR. OMAR SHAHBAZ (M.D., M.S.) is 1417226366

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMAR SHAHBAZ (M.D., M.S.)
NPI
1417226366
Phone
(760) 256-1004
Address
930 W Main St
Enumeration Date
21 December 2011
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9515665229125
Graduation Year
2011 (15 years ago)
PAC ID
5294091070
Group Practice PAC ID
2961305651
Professional Enrollment ID
I20171110001113
Address ID
CA925631405MU28078RDXX324
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

Provider Addresses for DR. OMAR SHAHBAZ (M.D., M.S.)

  • 930 W Main St

    Barstow, CA 923112654

    Phone: (760) 256-1004

    Fax: (760) 256-1055

    Type: Location

  • 121 S 7th Ave Ste A

    Barstow, CA 923113059

    Phone: (760) 818-4228

    Fax: (760) 818-4573

    Type: Location

  • 1901 TOWN AND COUNTRY DR STE 104

    NORCO, CA 928603611

    Phone: (951) 808-6250

    Fax: (951) 738-9954

    Type: Mailing

  • 2250 S MAIN ST STE 201

    CORONA, CA 928822536

    Phone: (951) 808-6298

    Fax: (951) 817-0362

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $913.

Total Amount is formed as General ($913) + Research ($0) + Ownership ($0) = $913.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($145).

Total Amount

$913

General + Research + Ownership

Payments

30

Total payment records

General Amount

$913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171110001113IGastroenterologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes239160$0
99213Established patient office or other outpatient visit, 20-29 minutes172146$0
99204New patient office or other outpatient visit, 45-59 minutes145145$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope122118$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare117116$0
View full utilization report →

Insurance plans in this area (ZIP 92311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961305651View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCA
Diagnostic RadiologyCA
Cardiovascular Disease (Cardiology)MO
General Practice, Preventive MedicineCA
G A S T R O E N T E R O L O G YCA

Reviews

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Frequently asked questions

How do payers reference DR. OMAR SHAHBAZ (M.D., M.S.)?
For DR. OMAR SHAHBAZ (M.D., M.S.), use NPI 1417226366 as the unique 10-digit identifier.
Active or inactive — what applies to DR. OMAR SHAHBAZ (M.D., M.S.)?
You should see DR. OMAR SHAHBAZ (M.D., M.S.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. OMAR SHAHBAZ (M.D., M.S.)?
DR. OMAR SHAHBAZ (M.D., M.S.)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. OMAR SHAHBAZ (M.D., M.S.)?
Travel planning: use Barstow, California as the reference point for DR. OMAR SHAHBAZ (M.D., M.S.), then confirm.
Does DR. OMAR SHAHBAZ (M.D., M.S.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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