NPIMap

Individual provider Active NPI

Omar Mohammad Al-Heeti, MD

  • Infectious Disease Physician
  • Decatur, IL
National Provider Identifier
1083903645
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.133842 Issued in IL
Practice address
304 W Hay St Ste 212
Decatur, IL 62526-6376
Phone
(217) 876-4390
Fax
(217) 876-4395
NPI assigned
Apr 5, 2011
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036133842 IL
Infectious Disease Physician 207RI0200X 036.133842 IL Primary

Addresses

Primary practice location

304 W Hay St Ste 212
Decatur, IL 62526-6376

Mailing address

304 W Hay St Ste 212
Decatur, IL 62526-6376
Phone (217) 876-4390

Other identifiers 1

IdentifierTypeStateIssuer
036133842OtherILMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140925000186 IL Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 0244450245 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Hospitalist, Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

302 W Hay St
Decatur, IL 62526-4167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133842ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital Internal Medicine CurrentSince Mar 15, 2024 Accepting new patients
Passavant Memorial Area Hospital Association CurrentSince Jan 7, 2026 Accepting new patients
Passavant Memorial Area Hospital Association Hospitalist CurrentSince Mar 10, 2025 Accepting new patients
Memorial Health Partners Current Accepting new patients
Decatur Memorial Hospital CurrentSince Mar 15, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Passavant Memorial Area Hospital Association Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Board of Trustees of Southern Illinois University PastSince Aug 1, 2022 Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

304 W Hay St
Ste 212
Decatur, IL 62526
Phone (217) 876-4390

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

Interoperability endpoints

  • Direct secure messaging: omaral-heeti@memorial.allscriptsdirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1083903645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W HAY ST STE 212",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266376",
            "telephone_number": "217-876-4390",
            "fax_number": "217-876-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HAY ST STE 212",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266376",
            "telephone_number": "217-876-4390",
            "fax_number": "217-876-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HEETI",
        "first_name": "OMAR",
        "middle_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036133842",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.133842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "036133842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.