Individual provider Active NPI

Omar Nadra, M.D.

  • Vascular Surgery Physician
  • Martinsburg, WV
National Provider Identifier
1114334828
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
29164 Issued in WV
Practice address
2000 Foundation Way Ste 3100
Martinsburg, WV 25401-9198
Phone
(304) 350-3273
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 29164 WV Primary

Addresses

Primary practice location

2000 Foundation Way Ste 3100
Martinsburg, WV 25401-9198

Mailing address

2000 Foundation Way Ste 3100
Martinsburg, WV 25401-9198
Phone (304) 350-3273

Other practice location 1

1 Medical Center Dr # 8003
Morgantown, WV 26506-1200
Phone (304) 598-6287

Other practice location 2

2451 Fillingim St
Mastin 711
Mobile, AL 36617-2238
Phone (251) 471-7992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address omar.nadra@hsc.wvu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20210510000578 WV Practitioner - Vascular Surgery 3577781012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

2000 Foundation Way
Suite 3100
Martinsburg, WV 25401-9198
Phone (304) 350-3273

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)17
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital Current Accepting new patients
West Virginia University Medical Corporation CurrentSince May 3, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 3, 2021 Accepting new patients
Jefferson Memorial Hospital CurrentSince Apr 16, 2025 Accepting new patients
Jefferson Memorial Hospital CurrentSince Apr 16, 2025 Accepting new patients

Locations

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2000 Foundation Way
Ste 1200
Martinsburg, WV 25401
Phone (304) 264-1214

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1 Medical Center Dr
#8003
Morgantown, WV 26506
Phone (304) 598-4478

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: onadra137738@direct.wvuhsdirect.com

Organizations & group practices 5

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 6

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1114334828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019198",
            "telephone_number": "304-350-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019198",
            "telephone_number": "304-350-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr # 8003",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "304-598-6287",
            "fax_number": "304-598-4394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Fillingim St",
            "address_2": "Mastin 711",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172238",
            "country_code": "US",
            "telephone_number": "251-471-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADRA",
        "first_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "29164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omar.nadra@hsc.wvu.edu",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2000 Foundation Way Ste 3100",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.