Individual provider Active NPI

Ahmed Awadalla Omer

  • Non-emergency Medical Transport (VAN)
  • Tempe, AZ
National Provider Identifier
1073946554
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
1303 W 5TH St
Tempe, AZ 85281-2419
Phone
(443) 864-1998
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X AZ Primary

Addresses

Primary practice location

1303 W 5TH St
Tempe, AZ 85281-2419

Mailing address

1303 W 5TH St
Tempe, AZ 85281-2419
Phone (443) 864-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Right Ride Non-Emergency Medical Transport (Van) Past Accepting new patients

Locations

4480 W Peoria Ave
Ste 103
Glendale, AZ 85302

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1073946554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W 5TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812419",
            "telephone_number": "443-864-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W 5TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812419",
            "telephone_number": "443-864-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMER",
        "first_name": "AHMED",
        "middle_name": "AWADALLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.