Individual provider Active NPI

Omar Ahmad Mahmood, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1285805291
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2008010708 Issued in MO
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Mar 18, 2008
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME105073 FL
Diagnostic Radiology Physician 2085R0202X 2008010708 MO Primary
Diagnostic Radiology Physician 2085R0202X 11012091A IN
Diagnostic Radiology Physician 2085R0202X MD.202109 LA

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, IN, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20090312000180 MO Practitioner - Diagnostic Radiology 8527124825 Reassigns benefits to 15 organizations
I20200430001653 TX Practitioner - Diagnostic Radiology 8527124825 Reassigns benefits to 1 organization
I20220520000849 IN Practitioner - Diagnostic Radiology 8527124825 Reassigns benefits to 3 organizations
I20250403002994 DC Practitioner - Diagnostic Radiology 8527124825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012091AINMDDiagnostic Radiology Physician
MD.202109LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Dec 23, 2024 Accepting new patients
Remlo Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince May 10, 2022 Accepting new patients
Greene County General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jun 17, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jun 26, 2020 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Feb 2, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince May 3, 2022 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Feb 2, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jun 26, 2020 Accepting new patients
Dimensions Healthcare Associates Inc Diagnostic Radiology CurrentSince Apr 14, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Dec 1, 2012 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Sep 29, 2017 Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology PastSince Jul 19, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Henry County Memorial Hospital Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology PastSince Aug 4, 2008 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations (25 of 40)

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 447-9341

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 323-6498

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

Interoperability endpoints

  • Direct secure messaging: omahmood3027771@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 8

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1285805291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "OMAR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME105073",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2008010708",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "11012091A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.202109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.