Individual provider Active NPI

Saspin Nakornsri Omar, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1467501353
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L6539 Issued in TX
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

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00705548OtherTXRAILROAD MEDICARE
183031702MedicaidTX
8W8854OtherTXBLUE CROSS BLUE SHIELD
183031701MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000356 TX Practitioner - Internal Medicine 4789780503 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Dallas County Hospital District CurrentSince Sep 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.