Omar M Jeroudi, M.D. P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

OMAR M JEROUDI, M.D. P.A.

Practice address

17490 Highway 3
Ste A300
Webster, TX 77598-3602

Phone

(281) 724-9940

Fax

(832) 632-1979

NPI assigned

Jun 20, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omar Mohamed Jeroudi, MDNPI 1982047676

Title

President

Phone

(832) 489-1582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Mohamed Jeroudi, MD

  • Cardiovascular Disease Physician
  • Webster, TX
  • NPI 1982047676
  Medicare reassignment NPD Authorized official
• Michael Ziad Dibbs, M.D.

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1629073457
  NPD (past)

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1558987073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272506",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772772506",
            "telephone_number": "281-724-9940",
            "fax_number": "832-632-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17490 HIGHWAY 3",
            "address_2": "STE A300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983602",
            "telephone_number": "281-724-9940",
            "fax_number": "832-632-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR M JEROUDI, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "JEROUDI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-489-1582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talibah Akanke Ojore
• Portia Sachamobi Okeke
• Oluwatosin Victoria Olowoyeye, PT, DPT, MS
• Haley Elaine Olson, AUD
• Krista Olson, MS, CCC-SLP
• Doaa Omar, RPH
• Omega Neurology , PA
• Mickey Teemnah Omole, FNP
• Oncology Pharmacy Services Inc (Texas Oncology Pharmacy Webster)
• Onestop Medical Supplies

• Cardiovascular Disease Physician in Webster, TX
• Providers in Webster, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.