Organization Active NPI

Amal Omran MD PC

  • Sleep Medicine (Internal Medicine) Physician
  • Westland, MI
National Provider Identifier
1437286341
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
4301079605 Issued in MI
Legal business name
AMAL OMRAN MD PC
Practice address
35600 Central City Pkwy Ste 103
Westland, MI 48185-2046
Phone
(734) 458-3330
Fax
(734) 458-3331
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Amal Omran, MDNPI 1144355934
Title
Owner
Phone
(313) 570-2394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 4301079605 MI Primary

Addresses

Primary practice location

35600 Central City Pkwy Ste 103
Westland, MI 48185-2046

Mailing address

35600 Central City Pkwy Ste 103
Westland, MI 48185-2046
Phone (734) 458-3330

Other identifiers 1

IdentifierTypeStateIssuer
1144355934OtherMINPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000461 MI Part B Supplier - Clinic/Group Practice 0749208783 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, MI; Dearborn Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1437286341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35600 CENTRAL CITY PKWY STE 103",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852046",
            "telephone_number": "734-458-3330",
            "fax_number": "734-458-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35600 CENTRAL CITY PKWY STE 103",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852046",
            "telephone_number": "734-458-3330",
            "fax_number": "734-458-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAL OMRAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "OMRAN",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-570-2394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301079605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144355934",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.