Omer Mohammed Jamal

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P9597 Issued in TX

Practice address

350 N Ervay St
2509
Dallas, TX 75201-3830

Phone

(469) 358-9484

NPI assigned

Apr 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Adair PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1902769144
  Medicare reassignment NPD Authorized official
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Guadalupe Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1114425220
  Medicare reassignment NPD
• Legacy Urgent Care, PA

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1568622272
  Medicare reassignment NPD
• Caremed, PLLC

  • Emergency Care Clinic/Center
  • Desoto, TX
  • NPI 1790457141
  NPD (past)
• Windview First, PLLC

  • Emergency Care Clinic/Center
  • Fort Worth, TX
  • NPI 1386222180
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1508157785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N ERVAY ST",
            "address_2": "2509",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013830",
            "telephone_number": "469-358-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N ERVAY ST",
            "address_2": "2509",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013830",
            "telephone_number": "469-358-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "OMER",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P9597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Jaleel
• Angel Jallice, REGISTERED NURSE
• Miakka Nicole Jalloh, M.D.
• Jam Wellness Clinics
• Jamaican Moon Group, LLC
• Sarah Jamal, DPT
• Haifa Jamaleddine, DENTIST DDS
• Riham Oussama Jamaleddine, M.D.
• Jambo Health Care Services LLC
• Jamden Group LLC

• Emergency Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.