Active NPI
Patrick W O'Mara, MD
- Neonatal-Perinatal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 17653
- Practice address
- 848 Adams Ave
Memphis, TN 38103-2816 - Phone
- (901) 287-5437
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 17653 | MS | Primary |
Addresses
Primary practice location
848 Adams Ave
Memphis, TN 38103-2816
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04831705 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17653 | MS | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Medical Group Inc | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Wesley Physician Services LLC | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Delta Medical Group | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients | |
| St Dominic-Jackson Memorial Hospital | Past | Accepting new patients | |
| Jackson Hma LLC | Past | Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Past | Accepting new patients |
Locations
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
421 S Stadium Cir
Jackson, MS 39216
Phone (601) 984-5211
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
853 Jefferson Ave
Ste 201
Memphis, TN 38103
Phone (901) 448-4750
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024
848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437
1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360
Interoperability endpoints
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
- pomara31798@mlh.direct-ci.com
- patrickomara@nmhs.medalliesdirect.net
Organizations & group practices 15
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.
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1780676650
Neonatal-Perinatal Medicine
-
- Emergency Medicine Physician
- Greenville, MS
- NPI 1790701134
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Plastic Surgery Physician
- Tupelo, MS
- NPI 1013650431
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1033163092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1467509331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 ADAMS AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032816",
"telephone_number": "901-287-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "PATRICK",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MS",
"license": "17653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04831705",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.