DR. ALAA MABROUK SALEM OMAR (MD, PHD, FACC) – Interventional Cardiology Physician, NPI 1962913178
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MS
Provider Addresses for DR. ALAA MABROUK SALEM OMAR (MD, PHD, FACC)
1065 E Broad St
Monticello, MS 396547703
Phone: (601) 249-1350
Fax: (601) 249-1339
Type: Location
303 MARION AVE
MCCOMB, MS 396482707
Phone: (601) 249-1350
Fax: (601) 249-1339
Type: Location
PO BOX 490
MCCOMB, MS 396490490
Phone: (601) 250-4366
Fax: (601) 250-4367
Type: Mailing
1770 GRAND CONCOURSE APT 9L
BRONX, NY 104575529
Phone: (646) 701-4001
Type: Mailing
Bronx-Lebanon Hospital Center Concourse Division, 1650, Grand Concourse, The Bronx, Bronx County, New York, 10457, United States
BRONX, NY 104577606
Phone: (646) 701-4001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $4,085.
Total Amount is formed as General ($4,085) + Research ($0) + Ownership ($0) = $4,085.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Medtronic, Inc. ($2,044).
Total Amount
$4,085
General + Research + Ownership
Payments
55
Total payment records
General Amount
$4,085
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,044 |
| Shockwave Medical, Inc | $1,004 |
| Philips North America LLC | $232 |
| Abbott Laboratories | $184 |
| Boston Scientific Corporation | $135 |
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: 2024-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240715003383 | I | Interventional Cardiology | MS | 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 39654)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Internal Medicine | MS | |
| Nurse Practitioner | MS | |
| General Surgery | LA | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Internal Medicine, Hospitalist | MS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MS |
Reviews
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