OMAR IHSAN SHISHAKLY – Registered Dietitian, NPI 1134632615

OMAR IHSAN SHISHAKLY is a healthcare provider. based in Houston, Texas. specializing in Registered Dietitian. They hold a License No. DT81652 (TX). The NPI Number for OMAR IHSAN SHISHAKLY is 1134632615

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
OMAR IHSAN SHISHAKLY
NPI
1134632615
Phone
(832) 858-0955
Address
10902 KATY FWY APT 1904
Enumeration Date
7 November 2017
Last Update Date
7 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403831240
Graduation Year
2006 (20 years ago)
PAC ID
7719244243
Group Practice PAC ID
3870755564
Professional Enrollment ID
I20171207002896
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for OMAR IHSAN SHISHAKLY

  • 10902 KATY FWY APT 1904

    HOUSTON, TX 770434915

    Phone: (832) 858-0955

    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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 77043)

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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: 3870755564View full group profile

Reviews

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Frequently asked questions

How is OMAR IHSAN SHISHAKLY identified in CMS data?
CMS-hosted NPPES data lists OMAR IHSAN SHISHAKLY with NPI 1134632615.
Does CMS list OMAR IHSAN SHISHAKLY as active?
Yes — OMAR IHSAN SHISHAKLY is active in the NPI listing used on this page.
What healthcare role does OMAR IHSAN SHISHAKLY hold?
Scheduling teams often label OMAR IHSAN SHISHAKLY under Registered Dietitian. Clinical services aligned with this taxonomy classification.
Does OMAR IHSAN SHISHAKLY list a practice location?
Patients near Houston, Texas may find OMAR IHSAN SHISHAKLY in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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