Individual provider Active NPI

Omar Sinno, MD

  • Obstetrics & Gynecology Physician
  • Summit, WI
National Provider Identifier
1477997955
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68889 Issued in WI
Practice address
36500 Aurora Dr
Summit, WI 53066-4899
Phone
(262) 434-1000
Fax
(262) 434-5050
NPI assigned
Apr 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 68889 WI Primary

Addresses

Primary practice location

36500 Aurora Dr
Summit, WI 53066-4899

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (262) 434-1000

Other practice location 1

8905 W Lincoln Ave Ste 515
West Allis, WI 53227
Phone (414) 328-8650

Other practice location 2

8905 W Lincoln Ave Ste 515
West Allis, WI 53227
Phone (414) 328-8650

Other identifiers 1

IdentifierTypeStateIssuer
100080049MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address osinno202905@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180821001534 WI Practitioner - Obstetrics/Gynecology 3678701828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

8905 W Lincoln Ave
West Allis, WI 53227-2468
Phone (414) 328-8480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68889WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Feb 13, 2019 Accepting new patients
Aurora Medical Group, Inc. Obstetrics & Gynecology Current Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Feb 13, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

3611 S Chicago Ave
South Milwaukee, WI 53172
Phone (414) 762-2450

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

8905 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

8905 W Lincoln Ave
Ste 515
West Allis, WI 53227
Phone (414) 328-8650

Interoperability endpoints

  • Direct secure messaging: osinno202905@direct.myadvocateaurora.org

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 1

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1477997955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "262-434-1000",
            "fax_number": "262-434-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "530664899",
            "telephone_number": "262-434-1000",
            "fax_number": "262-434-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8905 W Lincoln Ave Ste 515",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "53227",
            "country_code": "US",
            "telephone_number": "414-328-8650",
            "fax_number": "414-328-8660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8905 W Lincoln Ave Ste 515",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "53227",
            "country_code": "US",
            "telephone_number": "414-328-8650",
            "fax_number": "414-328-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINNO",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "68889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080049",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osinno202905@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8905 W Lincoln Ave Ste 515",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8905 W Lincoln Ave Ste 515",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summit, WI

Sources for this page

Verify at the official NPI Registry.