Individual provider Active NPI

Omar Horacio Henriquez, M.D.

  • Interventional Pain Medicine Physician
  • Venice, FL
National Provider Identifier
1306072004
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME115730 Issued in FL
Practice address
1525 Tamiami TRL S Ste 601
Venice, FL 34285-3568
Phone
(941) 237-0050
Fax
(833) 905-2233
NPI assigned
Jun 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME115730 FL Primary

Addresses

Primary practice location

1525 Tamiami TRL S Ste 601
Venice, FL 34285-3568

Mailing address

1525 Tamiami TRL S Ste 601
Venice, FL 34285-3568
Phone (941) 237-0050

Other practice location 1

3390 Tamiami Trl Ste 201&202
Port Charlotte, FL 33952-8157
Phone (941) 237-0050

Other practice location 2

1505 Tamiami Trl S Ste 405
Venice, FL 34285-5547
Phone (941) 237-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140707001182 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 2163650391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Spine and Pain Care Institute LLCGroup PAC ID 7517204555, 2 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

1525 Tamiami TRL S
Suite 601
Venice, FL 34285-3568
Phone (813) 495-8011

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Spine and Pain Care Institute LLC CurrentSince Nov 6, 2018 Accepting new patients

Locations

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

3390 Tamiami Trl
Ste 201202
Port Charlotte, FL 33952
Phone (941) 237-0050

3390 Tamiami Trl
Port Charlotte, FL 33952
Phone (941) 242-1929

1525 Tamiami Trl S
Ste 601
Venice, FL 34285
Phone (813) 495-8011

1505 Tamiami Trl S
Ste 405
Venice, FL 34285
Phone (941) 237-0050

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEJIDD/Endpoint/CEJIDD
  • FHIR API: https://api.platform.athenahealth.com/20709/brand/1/csg/1/fhir/r4

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 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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1306072004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 TAMIAMI TRL S STE 601",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853568",
            "telephone_number": "941-237-0050",
            "fax_number": "833-905-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 TAMIAMI TRL S STE 601",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853568",
            "telephone_number": "941-237-0050",
            "fax_number": "833-905-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 Tamiami Trl Ste 201&202",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528157",
            "country_code": "US",
            "telephone_number": "941-237-0050",
            "fax_number": "833-905-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Tamiami Trl S Ste 405",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342855547",
            "country_code": "US",
            "telephone_number": "941-237-0050",
            "fax_number": "833-905-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "OMAR",
        "middle_name": "HORACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME115730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.