Individual provider Active NPI

Omair Ahmad Syed, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1003498528
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A196559 Issued in CA
Practice address
640 Eskenazi Ave # F2-600
Indianapolis, IN 46202-5173
Phone
(317) 278-5570
NPI assigned
Apr 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A196559 CA Primary

Addresses

Primary practice location

640 Eskenazi Ave # F2-600
Indianapolis, IN 46202-5173

Mailing address

640 Eskenazi Ave # F2-600
Indianapolis, IN 46202-5173

Other practice location 1

1411 E 31st street
2nd flr A2
Oakland, CA 94602
Phone (510) 437-5039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623003546 IN Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Hospice/Palliative Care 8123565439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A196559CAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1003498528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ESKENAZI AVE # F2-600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ESKENAZI AVE # F2-600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025173",
            "telephone_number": "317-278-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E 31st street",
            "address_2": "2nd flr A2",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94602",
            "country_code": "US",
            "telephone_number": "510-437-5039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "OMAIR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A196559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.