Active NPI
Saspin Nakornsri Omar, MD
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1467501353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L6539
- Practice address
- 303 E Overton Rd
Bluitt-Flowers Health Center
Dallas, TX 75216-5946 - Phone
- (214) 266-4200
- Fax
- (214) 266-4218
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L6539 | TX | Primary |
Addresses
Primary practice location
303 E Overton Rd
Bluitt-Flowers Health Center
Dallas, TX 75216-5946
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00705548 | Other | TX | RAILROAD MEDICARE |
| 183031702 | Medicaid | TX | |
| 8W8854 | Other | TX | BLUE CROSS BLUE SHIELD |
| 183031701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Internal Medicine | Current | Accepting new patients |
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| Vickery Health Center | Past | Accepting new patients |
Locations
8224 Park Ln
Dallas, TX 75231
Phone (214) 266-0350
303 E Overton Rd
Dallas, TX 75216
Phone (214) 266-4200
2231 Butler St
#150
Dallas, TX 75235
Phone (214) 590-8396
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- somar4093@direct.phhs.org
Organizations & group practices 5
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.
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-
- Women's Health Nurse Practitioner
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- NPI 1831198506
-
- Psychologist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1467501353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E OVERTON RD",
"address_2": "BLUITT-FLOWERS HEALTH CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752165946",
"telephone_number": "214-266-4200",
"fax_number": "214-266-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMAR",
"first_name": "SASPIN",
"middle_name": "NAKORNSRI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L6539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00705548",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183031702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8W8854",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183031701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.