Omar Abdel-Wahab, M.D.
Individual provider Active NPI Internal Medicine Physician · Boston, MA
NPI 1023042777 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023042777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 229108 (MA)
- Practice address
- Wang Ambulatory Care Center 605
15 Parkman Street
Boston, MA 02114 - Phone
- (617) 726-7930
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Duke University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hematology Lymphoma Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.57 of 100
- Quality
- 70.48
- Improvement activities
- 40
- Cost
- 69.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100923000976 | NY | Practitioner - Medical Oncology | 3375669666 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229108 | MA | MD | Internal Medicine Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients |
Locations
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- oabdelwahab37129@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 229108 | MA | Yes |
Addresses
Primary practice location
Wang Ambulatory Care Center 605
15 Parkman Street
Boston, MA 02114
Mailing address
10 Emerson PL
Unit 9J
Boston, MA 02114-2204
Phone (617) 726-7930
Other providers in Boston, MA
- Ayesha Abdeen
- Layal Fadel Abdeen
- Anood Abdel Jawad
- Adham Abdel Mottalib
- Omar Abdel-Razek
- Omar Mohammed Abdelal
- Gaser Abdelaziz
- Salah Khidir Abdelgadir
- Sufian Rajab Sulaima Abdelhafez
- Mohab Amin Refae Ibrahim Abdelhalim
All providers in Boston, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.