Individual provider Active NPI

Iqbal Inayat Omarali, M.D.

  • Cardiovascular Disease Physician
  • Pleasanton, CA
National Provider Identifier
1588758148
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C50208 Issued in CA
Practice address
5924 Stoneridge Dr Ste 103
Pleasanton, CA 94588-5400
Phone
(925) 918-2415
Fax
(925) 420-7342
NPI assigned
Oct 3, 2006
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Cardiovascular Disease Physician 207RC0000X C50208 CA Primary

Addresses

Primary practice location

5924 Stoneridge Dr Ste 103
Pleasanton, CA 94588-5400

Mailing address

5924 Stoneridge Dr Ste 103
Pleasanton, CA 94588-5400
Phone (925) 417-7505

Other identifiers 1

IdentifierTypeStateIssuer
00C502080MedicaidCA

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
I20060223000851 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567478803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
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

State licenses

LicenseStateTypeSpecialty
C50208CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasanton Medical Group Cardiovascular Disease CurrentSince Feb 22, 2017 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

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

5924 Stoneridge Dr
Ste 103
Pleasanton, CA 94588
Phone (925) 263-2499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1588758148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 103",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "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": "925-918-2415",
            "fax_number": "925-420-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARALI",
        "first_name": "IQBAL",
        "middle_name": "INAYAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C50208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C502080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.