Individual provider Active NPI

Omar Momodu Kamara, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1477030336
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176363 Issued in VA
Practice address
9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone
(703) 385-5000
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176363 VA Primary

Addresses

Primary practice location

9229 Arlington Blvd
Fairfax, VA 22031-2504

Mailing address

13654 Shire PL
Gainesville, VA 20155-2901
Phone (703) 753-8430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210914000220 DC Practitioner - Nurse Practitioner 0749686996 Reassigns benefits to 3 organizations
I20240424000959 VA Practitioner - Nurse Practitioner 0749686996 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

5000 Nannie Helen Burroughs Ave NE
Deanwood Rehab and Wellness Ctr
Washington, DC 20019-5506
Phone (202) 399-4505

Hospital & facility affiliations

  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Vital Link Medical Concierge Family CurrentSince Jun 1, 2026 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 1, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Loudoun Medical Associates LLC Past Accepting new patients

Locations

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019
Phone (202) 399-4505

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

24430 Millstream Dr
Stone Ridge, VA 20105
Phone (703) 957-2000

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1477030336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13654 SHIRE PL",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552901",
            "telephone_number": "703-753-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 ARLINGTON BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312504",
            "telephone_number": "703-385-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "OMAR",
        "middle_name": "MOMODU",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.