OMAR ABDELBAKY, DDS, MD — NPI 1669827184 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery in KELLER, TX)

CMS-1500 Box 24J / 33a • NPI

1669827184

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

204E00000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery

Box 32 Service Location & ZIP+4

1141 KELLER PKWY STE B, KELLER, TX, 76248-1628

✓ 9-Digit EDI 837 ZIP+4 (76248-1628)

Practice Phone & Referral Fax

(817) 518-6246

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669827184 (OMAR ABDELBAKY, DDS, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1669827184)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic Medication	Total Claims	Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen	37	36

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669827184` (NPI-1 Individual Practitioner)
Provider / Legal Name	OMAR ABDELBAKY, DDS, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery NUCC Code: `204E00000X` (Oral & Maxillofacial Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1141 KELLER PKWY STE B, KELLER, TX, 76248-1628
Practice Telephone / Fax	Tel: (817) 518-6246
Administrative Mailing Address	4414 LOVERS LN, DALLAS, TX, 75225-6923
Enumeration & Last Sync	Enumerated: 2016-05-03 \| CMS Record Updated: 2024-09-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1141 KELLER PKWY STE B, KELLER, TX, 76248-1628

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Plain-English Taxonomy & CMS Crosswalk (204E00000X)

What Does Taxonomy Code 204E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204E00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 85 (Physician/Maxillofacial Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Oral & Maxillofacial Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (OMAR ABDELBAKY, DDS, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: TX \| License: `36948` \| Primary: Secondary
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: NC \| License: `2022-00732` \| Primary: Secondary
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: TX \| License: `T6489` \| Primary: Secondary
`204E00000X` — Oral & Maxillofacial Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery	State: TX \| License: `T6489` \| Primary: Secondary
`204E00000X` — Oral & Maxillofacial Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery	State: NC \| License: `12196` \| Primary: Secondary
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: NC \| License: `12196` \| Primary: Secondary
`204E00000X` — Oral & Maxillofacial Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery	State: NC \| License: `2022-00732` \| Primary: Secondary
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary
`204E00000X` — Oral & Maxillofacial Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery	State: TX \| License: `36948` \| Primary: Yes (Primary)

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OMAR ABDELBAKY, DDS, MD (NPI #1669827184)