Individual provider Active NPI

Nahid Abbas Omer, MD

  • General Practice Physician
  • Des Moines, WA
National Provider Identifier
1851097893
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ML.61395988 Issued in WA
Practice address
826 S 218TH St
Des Moines, WA 98198-5180
Phone
(206) 870-1345
Fax
(779) 204-2432
NPI assigned
Feb 1, 2023
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ML.61395988 WA
General Practice Physician 208D00000X ML.61395988 WA Primary

Addresses

Primary practice location

826 S 218TH St
Des Moines, WA 98198-5180

Mailing address

2222 Meridian Ave E Ste a
Edgewood, WA 98371-1032
Phone (206) 407-4171

Other practice location 1

3625 E B St
Tacoma, WA 98404-1524
Phone (253) 475-2507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629003098 WA Practitioner - Family Practice 3870985328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rejuvenation Medical PLLCGroup PAC ID 4880083062, 11 clinicians

Practice addresses (Care Compare)

12844 Military Rd S
Tukwila, WA 98168-3045
Phone (206) 407-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML.61395988WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenation Medical PLLC CurrentSince Aug 1, 2025 Accepting new patients
South Creek SNF Healthcare LLC Past Accepting new patients
Care Center Centralia Inc Past Accepting new patients

Locations

2222 Meridian Ave E
Ste A
Edgewood, WA 98371
Phone (206) 407-4171

12844 Military Rd S
Tukwila, WA 98168
Phone (206) 244-0180

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1851097893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 MERIDIAN AVE E STE A",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711032",
            "telephone_number": "206-407-4171",
            "fax_number": "253-294-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S 218TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985180",
            "telephone_number": "206-870-1345",
            "fax_number": "779-204-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 E B St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984041524",
            "country_code": "US",
            "telephone_number": "253-475-2507",
            "fax_number": "779-204-2432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMER",
        "first_name": "NAHID",
        "middle_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "ML.61395988",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "ML.61395988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.