Omer Abid, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

036114872 Issued in IL

Practice address

1820 Ridge Rd
Ste 102
Homewood, IL 60430-1760

Phone

(708) 647-7550

Fax

(708) 647-7564

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391
  Medicare reassignment NPD
• Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1114667763
  NPD
• Hopkins Medical Group Inc

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1134303019
  NPD (past)
• Jubilee Adult Day Center Inc

  • Adult Day Care Clinic/Center
  • Chicago, IL
  • NPI 1396703021
  NPD (past)
• Marek Walczyk MD,SC

  • Adult Mental Health Clinic/Center
  • Homewood, IL
  • NPI 1679748222
  NPD (past)
• Medplus, S.C.

  • Internal Medicine Physician
  • Des Plaines, IL
  • NPI 1770538753
  NPD (past)
• Miracles of Life Day Services Inc.

  • Adult Day Care Clinic/Center
  • Chicago, IL
  • NPI 1497812812
  NPD (past)
• Phoenix Healthcare Services LLC

  • Group Psychotherapy Psychologist
  • Chicago, IL
  • NPI 1285680645
  NPD (past)
• Professional Accounts Receivable Management Team

  • Psychiatry Physician
  • Homewood, IL
  • NPI 1881760353
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226707200000",
    "number": "1174539464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD",
            "address_2": "STE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301760",
            "telephone_number": "708-647-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD",
            "address_2": "STE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301760",
            "telephone_number": "708-647-7550",
            "fax_number": "708-647-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABID",
        "first_name": "OMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "036114872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Secure Foundation
• A1 Home Care Services LLC
• Abc Therapy Solutions, Inc.
• Ahmed Abdeldaiem, PT
• Abhc Homecare Agency
• Olufemi Aboyeji, MD
• Mitzi Achille
• Active Day in, Inc.
• Ammar Adam, DMD
• Addus Healthcare Inc

• Public Health & General Preventive Medicine Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Public Health & General Preventive Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.