Dr Omar Mohtadi, MBBS is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lafayette, Indiana. His current practice location is
2600 Greenbush St, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 448-8000.
Dr Omar Mohtadi is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205288701.
Physician's Profile
Full Name | Dr Omar Mohtadi |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2600 Greenbush St, Lafayette, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Omar Mohtadi attended and graduated from in
NPI Data:
- NPI Number: 1205288701
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 01/27/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Omar Mohtadi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205288701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 01081879A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Omar Mohtadi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Omar Mohtadi, MBBS 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Dr Omar Mohtadi, MBBS 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
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