Organization Active NPI

Omkar Dave MD PLLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1134598345
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
Q3662 Issued in TX
Legal business name
OMKAR DAVE MD PLLC
Practice address
1045 Gemini St
Houston, TX 77058-2705
Phone
(281) 335-1111
Fax
(281) 286-2950
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Omkar Dave, M.D.NPI 1992949770
Title
President
Phone
(832) 643-4251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Q3662 TX Primary

Addresses

Primary practice location

1045 Gemini St
Houston, TX 77058-2705

Mailing address

1045 Gemini St
Houston, TX 77058-2705
Phone (281) 335-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160527000360 TX Part B Supplier - Clinic/Group Practice 6608166905 Receives reassigned benefits from 9 practitioners
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

4427 Crenshaw Rd
Ste 120
Pasadena, TX 77504
Phone (281) 724-8241

4427 Crenshaw Rd
#120
Pasadena, TX 77504

11555 Magnolia Pkwy
Pearland, TX 77584
Phone (281) 957-9127

11555 Magnolia Pkwy
Ste 140
Pearland, TX 77584
Phone (281) 724-8241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14436/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1134598345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582705",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582705",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMKAR DAVE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "OMKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-643-4251",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "Q3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.