NPIMap

Individual provider Active NPI

Omar Bazzaz, M.D.

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1255759585
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R3033 Issued in TX
Practice address
1501 S Coulter St
Amarillo, TX 79106-1770
Phone
(806) 354-1000
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X R3033 TX
Internal Medicine Physician 207R00000X R3033 TX Primary

Addresses

Primary practice location

1501 S Coulter St
Amarillo, TX 79106-1770

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (806) 354-1000

Other names 1

  • Omar Hassan Al Bazzaz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728000345 TX Practitioner - Internal Medicine 1456659614 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Omar Bazzaz MD PLLCGroup PAC ID 2365933314, 2 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
Northwest Texas Heatlhcare System
Amarillo, TX 79106-1770
Phone (806) 354-1000

7950 Wallace Blvd
Amarillo, TX 79124-2436
Phone (806) 484-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3033TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Bazzaz MD PLLC Internal Medicine CurrentSince Nov 4, 2025 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

7950 Wallace Blvd
Amarillo, TX 79124
Phone (806) 484-3000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: omar.bazzaz@900436924694532.direct.elationemr.com

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.

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1255759585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-354-1000",
            "fax_number": "806-351-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061770",
            "telephone_number": "806-354-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZAZ",
        "first_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R3033",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMAR",
            "last_name": "AL BAZZAZ",
            "middle_name": "HASSAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.