Individual provider Active NPI

Omar Wahid, MD

  • Family Medicine Physician
  • Brighton, MA
National Provider Identifier
1063034536
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1015683 Issued in MA
Practice address
11 Nevins St
Suite 505
Brighton, MA 02135
Phone
(617) 414-2500
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1015683 MA Primary

Addresses

Primary practice location

11 Nevins St
Suite 505
Brighton, MA 02135

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118

Other practice location 1

11 Melnea Cass Blvd
Boston, MA 02119
Phone (617) 414-2080

Other practice location 2

1 Boston Medical Center Place
Dowling 5th FL
Boston, MA 02118-2908
Phone (617) 414-4465

Other identifiers 1

IdentifierTypeStateIssuer
110162782AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230718003960 MA Practitioner - Family Practice 3870953185 Reassigns benefits to 1 organization
I20250815003467 PA Practitioner - Family Practice 3870953185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Pennsylvania PCGroup PAC ID 9234309840, 94 clinicians

Practice addresses (Care Compare)

559 W Germantown Pike
Einstein Medical Center Montgomery
East Norriton, PA 19403-4250
Phone (484) 622-1000

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 1, 2023 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Fornance Physician Services, Inc Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Boston University Family Medicine, Inc. Family Medicine Past Accepting new patients
Fornance Physician Services, Inc. Family Medicine Past Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients
Boston Medical Center Corporation Past Accepting new patients

Locations

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

163 Gore St
East Cambridge, MA 02141
Phone (617) 499-6690

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

195 Canal St
Malden, MA 02148
Phone (781) 338-0055

1330 Powell St
Ste 409
Norristown, PA 19401
Phone (484) 622-7510

1330 Powell St
Ste 308
Norristown, PA 19401
Phone (484) 622-7371

1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • Direct secure messaging: owahid86425@direct.challiance.masshiway.net

Organizations & group practices 10

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 1

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1063034536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST",
            "address_2": "SUITE 505",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-414-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Melnea Cass Blvd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02119",
            "country_code": "US",
            "telephone_number": "617-414-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Boston Medical Center Place",
            "address_2": "Dowling 5th FL",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "617-414-4465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHID",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1015683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110162782A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.