NPIMap

Organization Active NPI

Omar F. Ahmad, M.D., P.C.

  • Ophthalmology Physician
  • Waldorf, MD
National Provider Identifier
1356375513
Registry record updated Dec 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0061689 Issued in MD
Legal business name
OMAR F. AHMAD, M.D., P.C.
Practice address
3460 Old Washington Rd
Suite 302
Waldorf, MD 20602-3240
Phone
(301) 893-3484
NPI assigned
Jul 11, 2006
Last updated
Dec 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2007

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

Authorized official

Name
Dr. Omar Farooq Ahmad, M.D.NPI 1093715310
Title
C.E.O.
Phone
(301) 893-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0061689 MD Primary

Addresses

Primary practice location

3460 Old Washington Rd
Suite 302
Waldorf, MD 20602-3240

Mailing address

3460 Old Washington Rd
Suite 302
Waldorf, MD 20602-3240
Phone (301) 893-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041006001140 MD Part B Supplier - Clinic/Group Practice 6709845605 Receives reassigned benefits from 5 practitioners
Practice locations: Bethesda, MD; Gambrills, MD; Prince Frederick, MD; Waldorf, MD
O20041029000547 DC Part B Supplier - Clinic/Group Practice 6709845605 Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC; Waldorf, MD; Oxon Hill, MD; Gambrills, MD; Falls Church, VA; Prince Frederick, MD

National Provider Directory

National Provider Directory

Locations

3800 Reservoir Rd NW
Rm 144
Washington, DC 20007
Phone (202) 444-3011

8600 Old Georgetown Rd
#12202
Bethesda, MD 20814

2391 Brandermill Blvd
Ste 203
Gambrills, MD 21054
Phone (301) 893-3484

3261 Old Washington Rd
Ste 3020
Waldorf, MD 20602
Phone (301) 893-3484

3460 Old Washington Rd
Ste 101
Waldorf, MD 20602
Phone (301) 705-6500

3460 Old Washington Rd
Ste 302
Waldorf, MD 20602
Phone (301) 292-3535

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198972800000",
    "number": "1356375513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 OLD WASHINGTON RD",
            "address_2": "SUITE 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023240",
            "telephone_number": "301-893-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 OLD WASHINGTON RD",
            "address_2": "SUITE 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023240",
            "telephone_number": "301-893-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR F. AHMAD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-30",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "FAROOQ",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "301-893-3484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0061689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.