NPIMap

Individual provider Active NPI

Kevin Thomas O'Mara, MD

  • Emergency Medicine Physician
  • Tempe, AZ
National Provider Identifier
1578675245
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45538 Issued in AZ
Practice address
1500 S Mill Ave
Tempe, AZ 85281-6699
Phone
(480) 784-5533
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35081691 OH
Emergency Medicine Physician 207P00000X ME97390 FL
Emergency Medicine Physician 207P00000X A93623 CA
Emergency Medicine Physician 207P00000X MD439347 PA
Emergency Medicine Physician 207P00000X 45538 AZ Primary

Addresses

Primary practice location

1500 S Mill Ave
Tempe, AZ 85281-6699

Mailing address

7126 E Osborn Rd
Scottsdale, AZ 85251-6310
Phone (813) 362-3230

Other identifiers 1

IdentifierTypeStateIssuer
2353484MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090309000195 AZ Practitioner - Emergency Medicine 6305807496 Reassigns benefits to 1 organization
I20100610000362 CA Practitioner - Emergency Medicine 6305807496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Ohio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower St Josephs PLLCGroup PAC ID 2961866173, 52 clinicians

Practice addresses (Care Compare)

7300 N 99TH Ave
Glendale, AZ 85307-3003
Phone (844) 723-1315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45538AZMDEmergency Medicine Physician
A93623CAMDEmergency Medicine Physician
35081691OHMDEmergency Medicine Physician
MD439347PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Nov 29, 2018 Accepting new patients
Monterey Bay Observation Medicine Emergency Medicine CurrentSince Dec 25, 2018 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Nov 29, 2018 Accepting new patients
Empower St Josephs PLLC Emergency Medicine CurrentSince Dec 27, 2023 Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients
Conemaugh Valley Memorial Hospital Emergency Medicine Past Accepting new patients
Fostoria Hospital Association Past Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine PastSince Mar 21, 2021 Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine Past Accepting new patients
Willard Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

14818 N 74th St
Scottsdale, AZ 85260
Phone (480) 339-5088

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1578675245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 E OSBORN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516310",
            "telephone_number": "813-362-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816699",
            "telephone_number": "480-784-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35081691",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME97390",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A93623",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD439347",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "45538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353484",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.