Individual provider Active NPI

Fatimah Omar Jah, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1063513570
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 28985 Issued in SC
Practice address
101 Mission St Ste 800
San Francisco, CA 94105-1744
Phone
(800) 221-5140
Fax
(415) 231-5332
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 MD 28985 SC Primary

Addresses

Primary practice location

101 Mission St Ste 800
San Francisco, CA 94105-1744

Mailing address

101 Mission St Ste 800
San Francisco, CA 94105-1744
Phone (800) 221-5140

Other identifiers 15

IdentifierTypeStateIssuer
20-28985OtherSCSC CONTROLLED SUB LIC #
034OtherSCTRICARE
063OtherSCBCBS
20078187OtherSCSELECT HEALTH
000000245946OtherSCUNISON
062OtherSCBCBS
063OtherSCBLUECHOICE
1833944OtherSCCIGNA
211987OtherSCMEDCOST
AA17288552OtherSCMEDICARE PTAN
032OtherSCTRICARE
289850MedicaidSC
061OtherSCBLUECHOICE
5910322MedicaidNC
MD 28985OtherSCSC MEDICAL LICENSE

Other names 1

  • Fatimah Omar Sillah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA, WA, RI, AL, MS, WV, IN, ID, OH, NC, NY, AR, TN, CT15 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 15

Enrollment IDStateProvider typePAC IDDetails
I20070412000589 SC Practitioner - Family Practice 6800876103 Reassigns benefits to 2 organizations
I20210429001049 CA Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20220201001402 WA Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20230709000109 RI Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20230712001319 AL Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20230719003589 MS Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20230726003514 WV Practitioner - Family Practice 6800876103 Reassigns benefits to 2 organizations
I20230728001731 IN Practitioner - Family Practice 6800876103
I20230802003759 ID Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20230810001446 OH Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20230919004412 NC Practitioner - Family Practice 6800876103 Reassigns benefits to 2 organizations
I20231024001554 NY Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20240625000027 AR Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20240722000398 TN Practitioner - Family Practice 6800876103 Reassigns benefits to 1 organization
I20250226001079 CT Practitioner - Internal Medicine 6800876103

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Mission St
San Francisco, CA 94105-1744

315 9TH St
New Brighton, PA 15066-1927

317 6TH Ave
Des Moines, IA 50309-4108

3795 Carambola Cir N
Coconut Creek, FL 33066-2444

401 Fairway Dr
Suite 200
Deerfield Beach, FL 33441-1800

6891 Lucca St
Orlando, FL 32819-5519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
272234NYMDLicensed Practical Nurse
MD 28985SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Oct 1, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Signify Health, LLC CurrentSince Mar 28, 2023 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jul 20, 2023 Accepting new patients
Glutality Provider Group of New Jersey, PA. CurrentSince May 6, 2024 Accepting new patients
Family Medicine Centers of South Carolina Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients
Walnut Street Community Health Center, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations (25 of 31)

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

124 W Capitol Ave
Ste 1900
Little Rock, AR 72201
Phone (479) 336-8422

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560

401 Fairway Dr
Ste 200
Deerfield Beach, FL 33441
Phone (561) 208-1970

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

6 City Ctr
Fl 3
Portland, ME 04101

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

11835 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (561) 208-1970

600 3rd Ave
Fl 2
New York, NY 10016
Phone (212) 547-8861

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

Interoperability endpoints

  • Direct secure messaging: fatimah.jah-ndiaye@393409484357636.direct.elationemr.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1063513570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MISSION ST STE 800",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051744",
            "telephone_number": "800-221-5140",
            "fax_number": "415-231-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MISSION ST STE 800",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051744",
            "telephone_number": "800-221-5140",
            "fax_number": "415-231-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAH",
        "first_name": "FATIMAH",
        "middle_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD 28985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC CONTROLLED SUB LIC #",
            "identifier": "20-28985",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "034",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "063",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20078187",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000245946",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "062",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "063",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1833944",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "211987",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA17288552",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "032",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289850",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "061",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "MD 28985",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMAH",
            "last_name": "SILLAH",
            "middle_name": "OMAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.