Individual provider Active NPI

Mohammad Omer Syed, MD

  • Pulmonary Disease Physician
  • South Ogden, UT
National Provider Identifier
1497977722
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD446706 Issued in PA
Practice address
5957 Fashion Point Dr Ste 103
South Ogden, UT 84403-5180
Phone
(385) 492-4930
Fax
(385) 492-4449
NPI assigned
May 3, 2007
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD446706 PA
Pulmonary Disease Physician 207RP1001X MD446706 PA Primary

Addresses

Primary practice location

5957 Fashion Point Dr Ste 103
South Ogden, UT 84403-5180

Mailing address

PO Box 150627
Ogden, UT 84415-0627
Phone (385) 492-4930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 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
I20190805002985 UT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4587700653 Reassigns benefits to 2 organizations
I20190805003178 ID Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4587700653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Pulmonary Associates PLLCGroup PAC ID 3678638517, 7 clinicians
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

2132 N 1700
Suite 307
Layton, UT 84041-7077
Phone (801) 807-7755

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446706PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jun 15, 2022 Accepting new patients
Idaho Falls Community Hospital LLC CurrentSince Sep 15, 2020 Accepting new patients
Pocatello Health Services, LLC CurrentSince Jun 9, 2022 Accepting new patients
Pocatello Health Services, LLC CurrentSince Jun 9, 2022 Accepting new patients
Ogden Pulmonary Associates PLLC Critical Care Medicine CurrentSince Sep 1, 2019 Accepting new patients
Ihc Health Services Inc Internal Medicine Current Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Ihc Health Services Inc CurrentSince Jun 15, 2022 Accepting new patients
Midwest Emergency Department Specialists LTD Past Accepting new patients
Memorial Expresscare, LLC Internal Medicine Past Accepting new patients

Locations

3270 E 17th St
Ammon, ID 83406
Phone (208) 534-6568

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

2132 N Robins Dr
Ste 307
Layton, UT 84041
Phone (801) 807-7755

4403 Harrison Blvd
Ogden, UT 84403
Phone (801) 387-2800

5957 Fashion Point Dr
Ste 103
South Ogden, UT 84403
Phone (385) 492-4930

Interoperability endpoints

  • Direct secure messaging: msyed277473@ahs.direct-ci.com
  • Direct secure messaging: syed.mohammad@150677.advancedmd-direct.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1497977722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150627",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150627",
            "telephone_number": "385-492-4930",
            "fax_number": "385-492-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 FASHION POINT DR STE 103",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035180",
            "telephone_number": "385-492-4930",
            "fax_number": "385-492-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "MOHAMMAD",
        "middle_name": "OMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD446706",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD446706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

Verify at the official NPI Registry.