Individual provider Active NPI

Patrick W O'Mara, MD

  • Neonatal-Perinatal Medicine Physician
  • Memphis, TN
National Provider Identifier
1467509331
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
17653 Issued in MS
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

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04831705MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040219000686 MS Practitioner - Pediatric Medicine 5496640260 Reassigns benefits to 4 organizations
I20090129000219 TN Practitioner - Pediatric Medicine 5496640260 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17653MSMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc Neonatal-Perinatal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Wesley Physician Services LLC CurrentSince Nov 6, 2016 Accepting new patients
North Mississippi Medical Center Inc CurrentSince Apr 28, 2025 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Ut Medical Group, Inc. CurrentSince Feb 1, 2019 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Delta Medical Group CurrentSince Aug 1, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 11, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 11, 2022 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Apr 28, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: pomara31798@mlh.direct-ci.com
  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.