Active NPI
Omer Zulfiqar, M.D.
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1043577059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME136610
- Practice address
- 1000 Blythe Blvd
CMC Annex 1St Floor
Charlotte, NC 28203 - Phone
- (704) 355-0720
- Fax
- (704) 355-5948
- NPI assigned
- Apr 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2014-02272 | NC | |
| Internal Medicine Physician | 207R00000X | ME136610 | FL | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
CMC Annex 1St Floor
Charlotte, NC 28203
Mailing address
3090 Caruso CT Ste 50
Orlando, FL 32806-8510
Phone (407) 481-7179
Other practice location 1
1000 Blythe Blvd
CMC Annex 1st Floor
Charlotte, NC 28203-5812
Phone (704) 355-0720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC2422 | Medicaid | SC | |
| 1043577059 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-02272 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Internal Medicine | Past | Accepting new patients |
Locations
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ozulfiqar27220@orlandohealth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1043577059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 CARUSO CT STE 50",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328068510",
"telephone_number": "407-481-7179",
"fax_number": "407-481-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"address_2": "CMC ANNEX 1ST FLOOR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-355-0720",
"fax_number": "704-355-5948"
}
],
"practiceLocations": [
{
"address_1": "1000 Blythe Blvd",
"address_2": "CMC Annex 1st Floor",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-0720",
"fax_number": "704-355-5948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZULFIQAR",
"first_name": "OMER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-15",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2014-02272",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME136610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2422",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043577059",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.