Muktar Shillow Omar, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13976 Issued in MN

Practice address

6200 Shingle Creek Pkwy Ste 260
Brooklyn Center, MN 55430-2128

Phone

(763) 544-0696

Fax

(763) 544-0984

NPI assigned

Mar 4, 2026

Last updated

Mar 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Kidney Specialists of Minnesota, PA

  • Nephrology Physician
  • Brooklyn Center, MN
  • NPI 1629010228
  NPD
• Ilbnc, P.a.

  dba Institute for Low Back & Neck Care

  • Orthopaedic Surgery of the Spine Physician
  • Bloomington, MN
  • NPI 1023001815
  NPD (past)

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1689529505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12372 5TH ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554342644",
            "telephone_number": "612-227-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SHINGLE CREEK PKWY STE 260",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302128",
            "telephone_number": "763-544-0696",
            "fax_number": "763-544-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "MUKTAR",
        "middle_name": "SHILLOW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "13976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Ollendick Wright, LICSW, CPRP
• Carl Olson-Skog
• April Marie Olson, LICSW
• Colin David Olson
• Spencer Olson, LP
• Omnihealing Therapeutic Services (OmniHealing Wellness Center)
• Omocare LLC
• Adetomi Omotayo
• Sylvester A Onaiwu, REGISTERED NURSE
• Kyle P Onan, DO

• Family Nurse Practitioner in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.