Omar Ellaicy, MD
NPI 1346990058 · Internal Medicine Physician · Louisville, KY
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Omar Ellaicy, MD is a Internal Medicine Physician provider in Louisville, KY (NPI 1346990058).
Provider details
- NPI number
- 1346990058
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R6772 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Frequently asked questions
- What is Omar Ellaicy's NPI number?
- Omar Ellaicy's National Provider Identifier (NPI) is 1346990058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Omar Ellaicy's specialty?
- Omar Ellaicy is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Omar Ellaicy located?
- Omar Ellaicy's practice location on file with NPPES is 530 S Jackson St, Louisville, KY 40202-1675.
- What is Omar Ellaicy's phone number?
- The practice phone number listed in the NPPES registry for Omar Ellaicy is (502) 562-3000.
- Does Omar Ellaicy accept Medicare?
- Omar Ellaicy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Omar Ellaicy's NPI active?
- Yes — Omar Ellaicy's NPI (1346990058) is active in the NPPES registry as of the last update on 2026-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.