DR. OMAR KADDURAH (MD) – Diagnostic Radiology Physician, NPI 1144715186
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. OMAR KADDURAH (MD)
52 UNDERWOOD ST # 153
ORLANDO, FL 328061110
Phone: (321) 842-8475
Type: Location
13677 W McDowell Rd
Goodyear, AZ 853952635
Phone: (623) 882-1500
Fax: (623) 882-1912
Type: Location
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482022608
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-03-11
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 |
|---|---|---|---|---|
| I20241029001706 | I | Diagnostic Radiology | MI | TBD |
| I20260311000692 | I | Diagnostic Radiology | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 73562 | X-ray of knee, 3 views | 114 | 92 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 102 | 84 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 63 | 63 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 38 | 38 | $0 |
| 71046 | X-ray of chest, 2 views | 28 | 28 | $0 |
Insurance plans in this area (ZIP 32806)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| General Surgery | TX | |
| Nurse Practitioner | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Interventional Radiology, Vascular Surgery | CT | |
| Clinical Psychologist | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.