MOHMED OMAR – Physical Therapist, NPI 1508514126

MOHMED OMAR is a healthcare provider. based in Macomb, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501301772 (MI). The NPI Number for MOHMED OMAR is 1508514126

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MOHMED OMAR
NPI
1508514126
Phone
(586) 464-7553
Address
21420 WAVERLY DR
Enumeration Date
14 March 2022
Last Update Date
14 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865665116
Graduation Year
2021 (5 years ago)
PAC ID
9638544869
Group Practice PAC ID
1153494018
Professional Enrollment ID
I20230331000775
Address ID
MI483152937SH51064DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MOHMED OMAR

  • 21420 WAVERLY DR

    MACOMB, MI 480441864

    Phone: (586) 464-7553

    Type: Mailing

  • 4949 COOLIDGE HWY

    ROYAL OAK, MI 480731026

    Phone: (248) 655-9600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2023-03-31

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
I20230331000775IPhysical Therapist In Private PracticeMITBD

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
97140Therapy procedure using manual technique, each 15 minutes64139$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58840$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care36235$0
97161Evaluation for physical therapy, typically 20 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 48044)

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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: 1153494018View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What number should I use to identify MOHMED OMAR for billing?
Administrative and clinical systems typically use NPI 1508514126 for MOHMED OMAR.
Is MOHMED OMAR currently accepting referrals based on NPI status?
Registry metadata lists MOHMED OMAR as active.
What type of care does MOHMED OMAR provide?
MOHMED OMAR's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MOHMED OMAR?
MOHMED OMAR shows a connection to Macomb, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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