| Dr Omar Saleh Hajibrahim, MD | |
|
1650 Cochrane Cir, Evans Army Community Hospital, Dept Of Radiology, Ft Carson, CO 80913-4613 | |
| (719) 526-7986 | |
| Not Available |
| Full Name | Dr Omar Saleh Hajibrahim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 1650 Cochrane Cir, Ft Carson, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649349408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | TRN8131 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 44369 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| San Luis Valley Health | Alamosa, CO | Hospital |
| Uchealth Pikes Peak Regional Hospital | Woodland park, CO | Hospital |
| Uchealth Grandview Hospital | Colorado springs, CO | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology And Imaging Consultants Pc | 1850298647 | 43 |
| Pontchartrain Diagnostic Imaging Llc | 1951552900 | 8 |
| Uchealth Imaging Services Llc | 5799021291 | 157 |
| Diagnostic Imaging Associates | 9133183213 | 11 |
| Entity Name | Radiology & Imaging Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598700825 PECOS PAC ID: 1850298647 Enrollment ID: O20031218000702 |
| Entity Name | Blue Ridge Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639244478 PECOS PAC ID: 9436159712 Enrollment ID: O20160506000696 |
| Entity Name | Pontchartrain Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20171221000773 |
| Entity Name | Uchealth Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396210902 PECOS PAC ID: 5799021291 Enrollment ID: O20190103002022 |
| Entity Name | Sra Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881920452 PECOS PAC ID: 1759369663 Enrollment ID: O20230926002770 |
| Entity Name | Diagnostic Imaging Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194807271 PECOS PAC ID: 9133183213 Enrollment ID: O20231012000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Saleh Hajibrahim, MD 19368 Queens Crescent Way, Monument, CO 80132-8413 Ph: (719) 526-7986 | Dr Omar Saleh Hajibrahim, MD 1650 Cochrane Cir, Evans Army Community Hospital, Dept Of Radiology, Ft Carson, CO 80913-4613 Ph: (719) 526-7986 |
Dr. Mike L Anderson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Ft Carson, CO 80913 Phone: 719-526-7979 | |
Dr. Scott Lloyd Whitworth, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Ft Carson, CO 80913 Phone: 719-524-4044 |