Omar Jehad Abbas, MD
Individual provider Active NPI Diagnostic Radiology Physician · Dearborn, MI
NPI 1255225751 · NPPES record last updated Jun 7, 2025
Key facts
- NPI
- 1255225751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 4351054731 (MI)
- Practice address
- 18101 Oakwood Blvd
Dearborn, MI 48124-4089 - Phone
- (313) 593-7000
- NPI assigned
- Jun 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625002382 | MI | Order and Referring Only - Diagnostic Radiology |
6709398639 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4351054731 | MI | Yes |
Addresses
Primary practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Mailing address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Other providers in Dearborn, MI
- Jinan Abbas
- Joanne Abbas
- Malak M. Abbas
- Manolia M Abbas
- Natalie Nabih Abbas
- Rayan Abbas
- Syeda Aiman Abbas
- Hafsa Abbass
- Mary Abbo
- Adnan Mohammad Abboud
All providers in Dearborn, MI · Diagnostic Radiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.