Individual provider Active NPI

Omar Fayez Hadidi, M.D.

  • Interventional Cardiology Physician
  • Kingwood, TX
National Provider Identifier
1194024414
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P9583 Issued in TX
Practice address
2627 Chestnut Ridge Rd Ste 100
Kingwood, TX 77339
Phone
(281) 358-1950
Fax
(281) 358-1923
NPI assigned
Mar 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P9583 TX
Interventional Cardiology Physician 207RI0011X P9583 TX Primary

Addresses

Primary practice location

2627 Chestnut Ridge Rd Ste 100
Kingwood, TX 77339

Mailing address

2627 Chestnut Ridge Rd Ste 100
Kingwood, TX 77339
Phone (281) 358-1950

Other practice location 1

4301 Garth Rd Ste 101
Baytown, TX 77521
Phone (281) 422-3364

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
I20181003001357 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9739321928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lieber-Moore Cardiology Associates PAGroup PAC ID 8022904770, 16 clinicians

Practice addresses (Care Compare)

2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lieber-Moore Cardiology Associates PA Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1650 W Baker Rd
Ste A
Baytown, TX 77521
Phone (346) 217-1111

837 FM 1960 Rd W
Ste 105
Houston, TX 77090
Phone (281) 453-7158

17030 Nanes Dr
Ste 211
Houston, TX 77090
Phone (281) 440-5925

2627 Chestnut Ridge Dr
Ste 100
Kingwood, TX 77339

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147

Interoperability endpoints

  • Direct secure messaging: ohadidi213237@directhoustonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIACA

Organizations & group practices 2

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 5

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": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1194024414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE RD STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE RD STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Garth Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "77521",
            "country_code": "US",
            "telephone_number": "281-422-3364",
            "fax_number": "281-422-6864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADIDI",
        "first_name": "OMAR",
        "middle_name": "FAYEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P9583",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P9583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.