Individual provider Active NPI

Hala Omar

  • Surgery Physician
  • Garden City, KS
National Provider Identifier
1588048698
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-44968 Issued in KS
Practice address
311 E Spruce St Ste 3B
Garden City, KS 67846-5685
Phone
(620) 275-3740
Fax
(620) 275-3761
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 04-44968 KS Primary

Addresses

Primary practice location

311 E Spruce St Ste 3B
Garden City, KS 67846-5685

Mailing address

5732 136TH St
Flushing, NY 11355-5201
Phone (917) 826-2520

Other practice location 1

5732 136th St
Flushing, NY 11355-5201
Phone (917) 826-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240913000208 CO Practitioner - General Surgery 3678822988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

300 Exempla Cir
Lafayette, CO 80026-3396

300 Exempla Cir
Suite 360 Im Heart and Vascular 360 Lafayet
Lafayette, CO 80026-3395
Phone (303) 272-0500

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-44968KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 14, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 14, 2024 Accepting new patients
Good Samaritan Medical Center, LLC Past Accepting new patients
Commonspirit Kansas, Inc. Surgery Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

300 Exempla Cir
Ste 400
Lafayette, CO 80026
Phone (303) 673-1944

Organizations & group practices 5

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1588048698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 136TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555201",
            "telephone_number": "917-826-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST STE 3B",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465685",
            "telephone_number": "620-275-3740",
            "fax_number": "620-275-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5732 136th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555201",
            "country_code": "US",
            "telephone_number": "917-826-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMAR",
        "first_name": "HALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-44968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.