NABEEL OMAR (PA-C) – Physician Assistant, NPI 1306627427

NABEEL OMAR (PA-C) is a healthcare provider. based in Southgate, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601011936 (MI). The NPI Number for NABEEL OMAR (PA-C) is 1306627427

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NABEEL OMAR (PA-C)
NPI
1306627427
Phone
(734) 283-2262
Address
13636 DIX TOLEDO RD
Enumeration Date
13 October 2023
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485891770
Graduation Year
2023 (3 years ago)
PAC ID
1355798869
Group Practice PAC ID
6709778145
Professional Enrollment ID
I20231106000724
Address ID
MI480711610MA30581HWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for NABEEL OMAR (PA-C)

  • 13636 DIX TOLEDO RD

    SOUTHGATE, MI 481952432

    Phone: (734) 283-2262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,013.

Total Amount is formed as General ($1,013) + Research ($0) + Ownership ($0) = $1,013.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($182).

Total Amount

$1,013

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,013

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2023-11-06

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
I20231106000724IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48195)

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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: 6709778145View full group profile
NameSpecialtyState
-MI
-MI
Family Practice, Geriatric MedicineMI
Nurse PractitionerMI
Physician AssistantMI
-MI

Reviews

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Frequently asked questions

How do I look up NABEEL OMAR (PA-C) by NPI?
Use NPI 1306627427 when you need to reference NABEEL OMAR (PA-C) in forms, claims, or directories.
Does this profile mean NABEEL OMAR (PA-C) is currently active?
Yes — NABEEL OMAR (PA-C) appears active in the national provider directory.
Does NABEEL OMAR (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for NABEEL OMAR (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for NABEEL OMAR (PA-C)?
The page summarizes Southgate, Michigan for NABEEL OMAR (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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