Omar David Hussamy, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Vero Beach, FL
NPI 1376594069 · NPPES record last updated Jun 18, 2025
Key facts
- NPI
- 1376594069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036175057 (IL)
- Practice address
- 1717 Indian River Blvd Ste 202B
Vero Beach, FL 32960-0864 - Phone
- (772) 213-9800
- Fax
- (772) 213-9813
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sullivan County Community Hospital
Hill Orthopedic Center
Practice addresses (Care Compare)
1717 Indian River Blvd
Suite 202B
Vero Beach, FL 32960-0864
Phone (772) 213-9800
2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311
4125 Hunters Park LN
Suite 117
Orlando, FL 32837-7669
Phone (407) 447-7001
Health Annex
2120 N Section St
Sullivan, IN 47882-7518
Phone 81226843112383
Hospital & facility affiliations
- Sullivan County Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.31 of 100
- Quality
- 57.65
- Promoting interoperability
- 82
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 24 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in FL, IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081025000044 | FL | Practitioner - Orthopedic Surgery | 8426090762 | Reassigns benefits to 2 organizations |
| I20251106000234 | IN | Practitioner - Orthopedic Surgery | 8426090762 | Reassigns benefits to 2 organizations |
| I20260226003374 | IL | Practitioner - Orthopedic Surgery | 8426090762 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036175057 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Orthopedic Center | Orthopaedic Surgery | Current |
Accepting new patients |
| Omar David Hussamy MD PA | Orthopaedic Surgery | Current |
Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Sullivan County Community Hospital | Current |
Accepting new patients | |
| Sullivan County Community Hospital | Current |
Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| Vero Beach Surgery Center LLC | Past | Accepting new patients | |
| Sebastian Hma Physician Management LLC | Past | Accepting new patients |
Locations
4125 Hunters Park Ln
Ste 117
Orlando, FL 32837
Phone (407) 447-7001
1500 36th St
Ste B
Vero Beach, FL 32960
Phone (407) 778-0600
1260 37th St
Ste 102
Vero Beach, FL 32960
Phone (561) 778-0600
1717 Indian River Blvd
Ste 202B
Vero Beach, FL 32960
Phone (561) 778-0600
1325 36th St
Ste B
Vero Beach, FL 32960
Phone (772) 589-0331
707 N Logan Ave
Danville, IL 61832
Phone (217) 446-6410
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME65456 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 036175057 | IL | Yes |
Addresses
Primary practice location
1717 Indian River Blvd Ste 202B
Vero Beach, FL 32960-0864
Mailing address
1260 37TH St Ste 102
Vero Beach, FL 32960-6567
Phone (772) 213-9800
Other practice location 1
707 N Logan Ave
Danville, IL 61832-4360
Phone (217) 477-4738
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200025538 | Other | FL | RAILROAD MEDICARE |
| 23805 | Other | FL | BCBS |
Other providers in Vero Beach, FL
- Richard Andre Huot
- Jacob Hurley
- Eugene Hurst
- Jorge Hurtado-Cordovi
- Farid Hussain
- Leslie A Huszar
- Crystal N Hutchinson
- Thy Huynh
- I. Basil Keller, M.D.
- I. Basil Keller, M.D.
All providers in Vero Beach, FL · Orthopaedic Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.