Individual provider Active NPI

Omeed Memar, MD

  • MOHS-Micrographic Surgery Physician
  • Chicago, IL
National Provider Identifier
1538200308
Registry record updated Jul 19, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jan 18, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
336061711 Issued in IL
Practice address
50 E Washington St Ste 200
Chicago, IL 60602-2154
Phone
(312) 230-0180
Fax
(312) 230-0181
NPI assigned
Feb 12, 2007
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 336061711 IL Primary

Addresses

Primary practice location

50 E Washington St Ste 200
Chicago, IL 60602-2154

Mailing address

PO Box 809397
Chicago, IL 60680-9397
Phone (312) 230-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336061711ILMDMOHS-Micrographic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1538200308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809397",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809397",
            "telephone_number": "312-230-0180",
            "fax_number": "312-230-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E WASHINGTON ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022154",
            "telephone_number": "312-230-0180",
            "fax_number": "312-230-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMAR",
        "first_name": "OMEED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "336061711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.