Individual provider Active NPI

Omar Rizwan Ahmad, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Marion, IL
National Provider Identifier
1205952249
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036127128 Issued in IL
Practice address
1200 W Deyoung
Marion, IL 62959
Phone
(618) 993-5686
Fax
(618) 997-6250
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036127128 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 2011014874 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X 036127128 IL Primary

Addresses

Primary practice location

1200 W Deyoung
Marion, IL 62959

Mailing address

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

Other practice location 1

5 Eye Center Dr
Harrisburg, IL 62946-3334
Phone (618) 252-5377

Other practice location 2

1001 N Beadle Dr
Carbondale, IL 62901-1054
Phone (618) 549-2282

Other practice location 3

1207 N One Mile Rd
Dexter, MO 63841-1041
Phone (573) 624-4584

Other practice location 4

297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200

Other identifiers 2

IdentifierTypeStateIssuer
1205952249MedicaidMO
036127128MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110513000727 IL Practitioner - Ophthalmology 0749334829 Reassigns benefits to 1 organization
I20110621000036 MO Practitioner - Ophthalmology 0749334829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Eye Centers LTDGroup PAC ID 3072426774, 38 clinicians

Practice addresses (Care Compare)

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011014874MOMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Eye Centers LTD. Ophthalmology CurrentSince May 1, 2011 Accepting new patients
Marion Eye Centers LTD. Ophthalmology CurrentSince May 1, 2011 Accepting new patients
Marion Eye Surgery Center LLC PastSince Oct 1, 2011 Accepting new patients

Locations

1001 N Beadle Dr
Carbondale, IL 62901
Phone (618) 457-2123

1204 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-6220

5 Eye Center Dr
Harrisburg, IL 62946
Phone (618) 252-5377

1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290

2900 Broadway St
#B
Mount Vernon, IL 62864
Phone (618) 969-8700

297 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 651-5200

1207 N One Mile Rd
Dexter, MO 63841
Phone (573) 624-4584

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1205952249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594437",
            "telephone_number": "618-993-5686",
            "fax_number": "618-997-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-5686",
            "fax_number": "618-997-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Eye Center Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629463334",
            "country_code": "US",
            "telephone_number": "618-252-5377",
            "fax_number": "618-252-3028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Beadle Dr",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011054",
            "country_code": "US",
            "telephone_number": "618-549-2282",
            "fax_number": "618-549-6017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 N One Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MO",
            "postal_code": "638411041",
            "country_code": "US",
            "telephone_number": "573-624-4584",
            "fax_number": "573-624-4992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637036309",
            "country_code": "US",
            "telephone_number": "573-651-5200",
            "fax_number": "573-651-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "OMAR",
        "middle_name": "RIZWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036127128",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2011014874",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036127128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205952249",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.