NPIMap

Individual provider Active NPI

Omar Akram Zalatimo, MD

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1053519256
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0076900 Issued in MD
Practice address
2700 Quarry Lake Dr
Suite 360
Baltimore, MD 21209-3742
Phone
(410) 486-0090
Fax
(410) 486-0093
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MT190445 PA
Neurological Surgery Physician 207T00000X D0076900 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr
Suite 360
Baltimore, MD 21209-3742

Mailing address

2700 Quarry Lake Dr
Suite 360
Baltimore, MD 21209-3742
Phone (410) 486-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812001671 MD Practitioner - Neurosurgery 6204077613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Pennsylvania State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Lifebridge Orthopedic Specialists LLCGroup PAC ID 4082928098, 46 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

5415 Old Court Rd
S04
Randallstown, MD 21133-5170
Phone (410) 701-4437

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score
81.77 of 100Reported as individual
Quality
60.24
Promoting interoperability
100
Improvement activities
40
Cost
74.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion216
Laminectomy or laminotomy (partial removal of spine bones)67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0076900MDMDNeurological Surgery Physician
MT190445PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Aug 1, 2016 Accepting new patients
Lifebridge Orthopedic Specialists, LLC Neurological Surgery CurrentSince Jun 1, 2016 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Aug 1, 2016 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Mar 1, 2015 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

2700 Quarry Lake Dr
Ste 360
Baltimore, MD 21209
Phone (410) 462-1051

5415 Old Court Rd
Ste S04
Randallstown, MD 21133
Phone (410) 701-4437

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: ozalatimo139515@direct.umm.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1053519256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 360",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093742",
            "telephone_number": "410-486-0090",
            "fax_number": "410-486-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 360",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093742",
            "telephone_number": "410-486-0090",
            "fax_number": "410-486-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALATIMO",
        "first_name": "OMAR",
        "middle_name": "AKRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MT190445",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0076900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.