Omar Khattab, MD - Medicare Emergency Medicine in Glendale, CA

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Omar Khattab, MD is a medicare enrolled "Emergency Medicine" physician in Glendale, California. His current practice location is 1812 Verdugo Blvd, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 790-7100.

Omar Khattab is licensed to practice in Louisiana (license number 334718) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952924524.

Contact Information

Omar Khattab, MD
1812 Verdugo Blvd,
Glendale, CA 91208-1407
(818) 790-7100
Not Available

Map and Direction




Physician's Profile

Full NameOmar Khattab
GenderMale
SpecialityEmergency Medicine
Location1812 Verdugo Blvd, Glendale, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952924524
  • Provider Enumeration Date: 05/18/2020
  • Last Update Date: 07/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042634875
  • Enrollment ID: I20230703000388

Medical Identifiers

Medical identifiers for Omar Khattab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952924524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 334718 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Omar Khattab allows following entities to bill medicare on his behalf.
Entity NameOchsner Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513
Entity NameKenner Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013986546
PECOS PAC ID: 8426011230
Enrollment ID: O20041111000475
Entity NameBelle Chasse Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851714075
PECOS PAC ID: 7113140070
Enrollment ID: O20140521001580
Entity NameVincent Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740816917
PECOS PAC ID: 0840621926
Enrollment ID: O20200505000479

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. Omar Khattab 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 AddressPractice Location Address
Omar Khattab, MD
Po Box 31309,
Los Angeles, CA 90031-0309

Ph: (626) 457-6601		Omar Khattab, MD
1812 Verdugo Blvd,
Glendale, CA 91208-1407

Ph: (818) 790-7100

Reviews and Comments


Emergency Medicine Doctors in Glendale, CA

Cheryl Lee Jang, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206
Phone: 818-863-4000    
Dr. Josiah Friedlander, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1420 S Central Ave, Glendale, CA 91204
Phone: 818-502-2344    Fax: 818-502-4501
Dr. Gil Z Shlamovitz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208
Phone: 818-790-7100    
Tyler Ronnfeldt, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208
Phone: 818-790-7100    
Peter Utas, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206
Phone: 818-409-8000    
Peter E Shin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206
Phone: 818-409-8000    
Dr. Ryan Raam, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208
Phone: 818-790-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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