Individual provider Active NPI

Omar Nidal Shuaib, M.D.

  • Internal Medicine Physician
  • Edinburg, TX
National Provider Identifier
1154715605
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10052376 Issued in TX
Practice address
2821 Michael Angelo Ste 400
Edinburg, TX 78539-1405
Phone
(956) 362-3553
NPI assigned
Mar 23, 2015
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10052376 TX Primary

Addresses

Primary practice location

2821 Michael Angelo Ste 400
Edinburg, TX 78539-1405

Mailing address

2821 Michael Angelo Ste 400
Edinburg, TX 78539-1405
Phone (956) 362-3553

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180808000532 TX Practitioner - Internal Medicine 5395093389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians
Lonestar Pat Associates PAGroup PAC ID 9335559871, 24 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

901 W Ben White Blvd
St. David's South Austin Medical Ce
Austin, TX 78704-6903
Phone (512) 447-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10052376TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Aug 15, 2018 Accepting new patients
Texas Post Acute Care PLLC CurrentSince Feb 2, 2026 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
MSK Clinic Internal Medicine CurrentSince Sep 25, 2024 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

12129 FM 620 N
Ste 610
Austin, TX 78750
Phone (512) 900-7800

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

741 Generations Dr
Ste 205
New Braunfels, TX 78130
Phone (737) 405-1502

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 6

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 4

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1154715605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MICHAEL ANGELO STE 400",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391405",
            "telephone_number": "956-362-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAEL ANGELO STE 400",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391405",
            "telephone_number": "956-362-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUAIB",
        "first_name": "OMAR",
        "middle_name": "NIDAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10052376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.