Active NPI
Majdi A Omar, MD
- Pediatrics Physician
- Davenport, IA
National Provider Identifier
1245236587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 32037
- Practice address
- 5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935 - Phone
- (563) 424-2025
- Fax
- (563) 424-2042
- NPI assigned
- Jun 22, 2005
- Last updated
- Feb 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32037 | IA | Primary |
Addresses
Primary practice location
5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935
Mailing address
5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935
Phone (563) 424-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4225250 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winneshiek Medical Center | Past | Accepting new patients | |
| Genesis Health System | Pediatrics | Past | Accepting new patients |
| Washington County Hospital | Past | Accepting new patients | |
| Henry County Soldiers' and Sailors' Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Davenport, IA
- NPI 1174818447
-
dba Genesis Health Group
- Family Medicine Physician
- Bettendorf, IA
- NPI 1225018211
Pediatrics
-
dba Henry County Health Center
- Skilled Nursing Facility
- Mt Pleasant, IA
- NPI 1982691002
-
dba WCHC Kalona Clinic
- Family Medicine Physician
- Kalona, IA
- NPI 1235985003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1245236587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 UTICA RIDGE RD STE 100",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072935",
"telephone_number": "563-424-2025",
"fax_number": "563-424-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 UTICA RIDGE RD STE 100",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072935",
"telephone_number": "563-424-2025",
"fax_number": "563-424-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMAR",
"first_name": "MAJDI",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "32037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4225250",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.