Omar Damaso Vidal, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

K8553 Issued in TX

Practice address

4545 Bissonnet #110
Bellaire, TX 77401

Phone

(713) 751-0633

Fax

(713) 751-0605

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in TX

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 1

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

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.

• Richard R. M. Francis MD. PA.

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1053461806
  Medicare reassignment NPD
• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120
  NPD
• Pearland Surgical Solutions

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1538368303
  NPD
• Medical Anesthesia Associates, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1104868686
  NPD (past)
• Pasadena Pain Management Consultants, PA.

  • Interventional Pain Medicine Physician
  • Pasadena, TX
  • NPI 1760566749
  NPD (past)
• RPK Anesthesia PA

  • Anesthesiology Physician
  • Pasadena, TX
  • NPI 1679657654
  NPD (past)
• RPK Anesthesia PA.

  • Interventional Pain Medicine Physician
  • Beaumont, TX
  • NPI 1376712554

  Anesthesiology

  NPD (past)
• Texas Pain Consultants, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Sugar Land, TX
  • NPI 1932211992

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1083635841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 BISSONNET #110",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-751-0633",
            "fax_number": "713-751-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BISSONNET #110",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-751-0633",
            "fax_number": "713-751-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "OMAR",
        "middle_name": "DAMASO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K8553",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "K8553",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K8553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80180Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS BEAUMONT",
            "identifier": "85491G",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RPK GROUP #",
            "identifier": "0046CC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P080565G5",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079696301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID BEAUMONT",
            "identifier": "100841906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEAUMONT MEDICARE GROUP",
            "identifier": "00747Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPMC GROUP #",
            "identifier": "0004CG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BEAUMONT",
            "identifier": "8E0572",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT MEDICARE",
            "identifier": "P081292GU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verat Home Health TX, LLC
• Veritas Wellness Center, PLLC
• Cheryl Verlander, LMSW
• Brad Vestal
• Riya Roney Vettickal
• Maricela Villar, SLP
• Virtis Health, LLC
• Vision Park Interventional Pain Management, PLLC
• Mary Alice Volkert, MS RD LD CDE
• Kirstin Vollrath, MS, RD, LD

• Interventional Pain Medicine Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.

Verify at the official NPI Registry.