Dara Omer, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD60854439 Issued in WA

Practice address

12040 NE 128TH St
Kirkland, WA 98034-3013

Phone

(425) 899-1800

NPI assigned

Jun 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Diagnostic Radiology

Education

State University of New York at Buffalo School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Albuquerque PAGroup PAC ID 2860304482, 103 clinicians

Advanced Imaging LLCGroup PAC ID 2860451648, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022
• Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090
• Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306
• Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Imaging LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1558416974

  Diagnostic Radiology, NM

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Albuquerque, PA

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1881666998

  Diagnostic Radiology, NM

  Medicare reassignment Care Compare group NPD
• Advanced Imaging LLC

  • Body Imaging Physician
  • Albuquerque, NM
  • NPI 1851363972
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Espanola, NM
  • NPI 1154307593

  Hospital

  Care Compare affiliation
• Presbyterian Healthcare Services

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470

  Hospital

  Care Compare affiliation
• Presbyterian Healthcare Services

  • Critical Access Hospital
  • Ruidoso, NM
  • NPI 1558347708

  Hospital

  Care Compare affiliation
• Presbyterian Healthcare Services

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482

  Hospital

  Care Compare affiliation
• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509

  Hospital

  Care Compare affiliation
• Presbyterian Healthcare Services

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1730684853

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1124380324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 NE 128TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343013",
            "telephone_number": "425-899-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21700 Highway 99",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268034",
            "country_code": "US",
            "telephone_number": "425-640-4949",
            "fax_number": "425-640-4940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11521 NE 128th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980344317",
            "country_code": "US",
            "telephone_number": "425-952-6100",
            "fax_number": "425-952-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMER",
        "first_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60854439",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD60854439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-RADIA REST OF WA",
            "identifier": "0394145",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-EVERGREEN RADIA",
            "identifier": "0394153",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-RADIA KING COUNTY",
            "identifier": "0394150",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103784",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-SWEDISH RADIA EDMONDS",
            "identifier": "0394151",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleh Olsen, C.N.
• Jordan Douglas Olson, LMHCA
• Rolf D. Olsoy, MD
• Harold E. Olsson, MD
• Olympic Physical Therapy, Inc.
• One Medical Group, Inc.
• One Medical Group, Inc.
• One Urgent Care LLC
• Amy Elisabeth Oneill
• Moira Opalka, RN, MSN, FNP-C

• All providers in Kirkland, WA
• Vascular & Interventional Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.