NPIMap

Individual provider Active NPI

Nabeel Omar, PA-C

  • Physician Assistant
  • Southgate, MI
National Provider Identifier
1306627427
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011936 Issued in MI
Practice address
13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone
(734) 283-2262
NPI assigned
Oct 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011936 MI Primary

Addresses

Primary practice location

13636 Dix Toledo Rd
Southgate, MI 48195-2432

Mailing address

13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone (734) 283-2262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106000724 MI Practitioner - Physician Assistant 1355798869 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City Medical PCGroup PAC ID 6709778145, 4 clinicians
Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians

Practice addresses (Care Compare)

13636 Dix Toledo Rd
Southgate, MI 48195-2432
Phone (313) 283-2262

13636 Dix-Toledo
Southgate, MI 48195-2432

1768 Ford Ave
Wyandotte, MI 48192-2306
Phone (313) 377-5758

30581 Stephenson Hwy
Madison Heights, MI 48071-1610
Phone (248) 589-1770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
78.29
Promoting interoperability
91
Improvement activities
40
Cost
72.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aoun Medical Group PLLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

5901 W Vernor Hwy
Detroit, MI 48209
Phone (313) 207-5767

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22896/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nabeel.omar.1@22896.direct.athenahealth.com
  • Direct secure messaging: nabeel.omar.1@20501.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1306627427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952432",
            "telephone_number": "734-283-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952432",
            "telephone_number": "734-283-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "NABEEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.