Active NPI
Omar Nabil Kallas, M.D.
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 84802
- Practice address
- 1364 Clifton Road
Department of Radiology and Imaging Sciences
Atlanta, GA 30322 - Phone
- (404) 778-3900
- NPI assigned
- Apr 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 84802 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Road
Department of Radiology and Imaging Sciences
Atlanta, GA 30322
Mailing address
1364 Clifton Rd NE
Department of Radiology and Imaging Sciences
Atlanta, GA 30322-1059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020
18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444
2125 Citracado Pkwy
Escondido, CA 92029-4159
230 S Main St
Orange, CA 92868-3851
2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120
31775 De Portola Rd
Temecula, CA 92592-2742
Phone (951) 238-6070
3300 W Coast Hwy
Suite B
Newport Beach, CA 92663-4025
Phone (949) 726-9100
35800 Bob Hope Dr
Suite 150a
Rancho Mirage, CA 92270-1740
Phone (760) 770-1920
3715 E S St
Long Beach, CA 90805-4521
Phone (562) 602-0700
3900 Sherman Dr
Riverside, CA 92503-4006
399 E 21St St
San Bernardino, CA 92404-4815
Phone (951) 682-1099
44105 15TH St W
Suite 100
Lancaster, CA 93534-4090
Phone (661) 726-6700
4500 Olivewood Ave
Suite 100200
Riverside, CA 92501-4116
Phone (951) 682-7580
490 Paulette PL
La Canada, CA 91011-2728
Phone (585) 218-8005
630 S Raymond Ave
Pasadena, CA 91105-3283
801 S Main St
Corona, CA 92882-3410
8283 Grove Ave
Suite 101
Rancho Cucamonga, CA 91730-3138
Phone (909) 560-0649
9191 Westminster
Ave 210
Garden Grove, CA 92844-2751
Phone (714) 784-1657
9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone (714) 784-1657
Hospital & facility affiliations
- Glendale Adventist Medical Center
- Palomar Health Downtown Campus
- Palomar Medical Center Poway
- Adventist Health Simi Valley
- Adventist Health Bakersfield
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.08 of 100
- Quality
- 82.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84802 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Santa Rosa Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Fresno Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Modesto Advanced Diagnostic Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Arch Health Partners, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Keck Medicine of Usc Imaging Centers, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Desert Advanced Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Imaging, LLC | Current | Accepting new patients | |
| Valley Radiology Medical Associates, Inc. | Current | Accepting new patients | |
| Arch Health Partners | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Imaging-Chula Vista LLC | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| San Diego Diagnostic Radiology Medical Group, Inc. | Past | Accepting new patients |
Locations (25 of 49)
18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444
2301 Bahamas Dr
Bakersfield, CA 93309
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800
3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462
765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777
801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200
9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314
250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450
2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333
11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1450 San Pablo St
Ste 3500
Los Angeles, CA 90033
Interoperability endpoints
- omar.kallas.p1@direct.arch.nextgenshare.com
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1710931910
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1659456499
-
- Radiology Clinic/Center
- Pasadena, CA
- NPI 1669292405
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1700821972
-
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
-
- Diagnostic Radiology Physician
- Concord, CA
- NPI 1003965997
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1548345382
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1003201336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"address_2": "DEPARTMENT OF RADIOLOGY AND IMAGING SCIENCES",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON ROAD",
"address_2": "DEPARTMENT OF RADIOLOGY AND IMAGING SCIENCES",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-778-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLAS",
"first_name": "OMAR",
"middle_name": "NABIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-03",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "84802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.