Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omar Fahmy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528731007

Omar Fahmy is a Family Practice in Monroe, Louisiana. Qualified in 2014, 12 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 675-5053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61506970 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528731007
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address4864 Jackson St, Monroe, LA 71202-6400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe