NPIMap

Individual provider Active NPI

Omid Jazaeri, M.D.

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1437322898
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
47771 Issued in OK
Practice address
825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone
(572) 244-0074
Fax
(572) 244-9882
NPI assigned
Apr 8, 2008
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 48825 CO
Vascular Surgery Physician 2086S0129X 47771 OK Primary

Addresses

Primary practice location

825 NE 10TH St
Oklahoma City, OK 73104-5417

Mailing address

7780 S Broadway Ste 260
Littleton, CO 80122-2633
Phone (720) 330-1300

Other practice location 1

950 E Harvard Ave Ste 550
Denver, CO 80210-7000
Phone (720) 330-1300

Other practice location 2

1444 S Potomac St Ste 200
Aurora, CO 80012-4509
Phone (207) 226-4650

Other practice location 3

1411 S Potomac St Ste 200
Aurora, CO 80012-4538
Phone (303) 755-7681

Other practice location 4

7780 S Broadway Ste 260
Littleton, CO 80122-2633
Phone (720) 330-1300

Other identifiers 1

IdentifierTypeStateIssuer
16689348MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, OK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100914000393 CO Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Cardiovascular Disease (Cardiology) 0143345298 Reassigns benefits to 1 organization
I20260319000767 MI Practitioner - Vascular Surgery 0143345298 Reassigns benefits to 1 organization
I20260608002404 OK Practitioner - Vascular Surgery 0143345298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

310 Lafayette Ave SE
Suite 301
Grand Rapids, MI 49503-4693
Phone (616) 685-7850

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

7780 S Broadway
Suite 260
Littleton, CO 80122-2633
Phone (303) 347-5360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48825COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 7, 2024 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7780 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 347-5360

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

310 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 685-6900

Interoperability endpoints

  • Direct secure messaging: ojazaeri3148681@adventhealth.direct-ci.com
  • Direct secure messaging: omid.jazaeri.1@30093.direct.athenahealth.com
  • Direct secure messaging: omid.jazaeri.p1@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1437322898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 260",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "720-330-1300",
            "fax_number": "720-452-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "572-244-0074",
            "fax_number": "572-244-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Harvard Ave Ste 550",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802107000",
            "country_code": "US",
            "telephone_number": "720-330-1300",
            "fax_number": "720-452-0757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 S Potomac St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124509",
            "country_code": "US",
            "telephone_number": "207-226-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Potomac St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124538",
            "country_code": "US",
            "telephone_number": "303-755-7681",
            "fax_number": "303-755-9167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7780 S Broadway Ste 260",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222633",
            "country_code": "US",
            "telephone_number": "720-330-1300",
            "fax_number": "720-452-0757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAZAERI",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "48825",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "47771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16689348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.