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

Individual provider Clinical Pathology Physician · NPI 1962407189

Dr. Omar Idlibi, MD practises Pathology in Charlotte, North Carolina. Qualified in 1979, 47 years ago. Practices with Physicians Footcare, LLC, a 32-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
47
Licensed in
NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1815 Back Creek Dr
Charlotte, NC 28213-2159
Phone: (704) 598-8818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 9300397 (NC)
Clinical Pathology Physician Taxonomy 207ZC0006X · Licence 9300397 (NC)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 9300397 (NC)

Record details

NPI number1962407189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2005
Last updated in NPPESMarch 12, 2019

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Physicians Footcare, Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients379
Services billed 4,849 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Physicians Footcare, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 32 clinicians in the practice; 12 are shown here.