Individual provider Active NPI

Tasneem Bader-Omarali, M.D.

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1578658795
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G85053 Issued in CA
Practice address
5924 Stoneridge Dr Ste 103
Pleasanton, CA 94588-5400
Phone
(925) 417-7505
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G85053 CA Primary

Addresses

Primary practice location

5924 Stoneridge Dr Ste 103
Pleasanton, CA 94588-5400

Mailing address

2324 Santa Rita Road #11
Pleasanton, CA 94566
Phone (925) 417-7505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20121113000440 CA Practitioner - Internal Medicine 1153579206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasanton Medical GroupGroup PAC ID 5193976520, 2 clinicians

Practice addresses (Care Compare)

5924 Stoneridge Dr
Pleasanton, CA 94588-5400
Phone (925) 417-7505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasanton Medical Group Internal Medicine CurrentSince Oct 29, 2012 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

5924 Stoneridge Dr
Ste 103
Pleasanton, CA 94588
Phone (510) 379-5055

2324 Santa Rita Rd
Ste 11
Pleasanton, CA 94566
Phone (925) 417-7505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25176/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1578658795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA ROAD #11",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94566",
            "telephone_number": "925-417-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 103",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-417-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER-OMARALI",
        "first_name": "TASNEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G85053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.