Individual provider Active NPI

Omar A Haq, MD

  • Transplant Hepatology Physician
  • Fort Worth, TX
National Provider Identifier
1477723344
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
P6629 Issued in TX
Practice address
1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145
Phone
(817) 250-7230
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X P6629 TX
Transplant Hepatology Physician 207RT0003X P6629 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145

Mailing address

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145
Phone (817) 250-7230

Other identifiers 1

IdentifierTypeStateIssuer
363009701MedicaidTX

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
I20161004000312 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4587742564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1325 Pennsylvania Ave
Suite 890
Fort Worth, TX 76104-2145
Phone (817) 250-4280

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Upper gastrointestinal (GI) endoscopy for acid reflux111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6629TXMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Gastroenterology CurrentSince Feb 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2019 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2019 Accepting new patients
Inpatient Consultants of Texas, PLLC Past Accepting new patients
Nashoba Valley Healthcare Group Inc Past Accepting new patients
PSN FW Holdco, LLC PastSince Jan 1, 2018 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

800 5th Ave
Ste 410
Fort Worth, TX 76104
Phone (817) 250-7030

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1325 Pennsylvania Ave
Ste 890
Ft Worth, TX 76104
Phone (817) 250-4280

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

Interoperability endpoints

  • Direct secure messaging: ohaq1294685@direct.texashealth.org
  • FHIR API: https://api.platform.athenahealth.com/9229/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1477723344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 890",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042145",
            "telephone_number": "817-250-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 890",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042145",
            "telephone_number": "817-250-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "OMAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P6629",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "TX",
            "license": "P6629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363009701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.