Active NPI
Iqbal Inayat Omarali, M.D.
- Cardiovascular Disease Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C50208
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C502080 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| C50208 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasanton Medical Group | Cardiovascular Disease | Current | 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
- 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.
-
- Internal Medicine Physician
- Pleasanton, CA
- NPI 1174618219
Cardiovascular Disease
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pleasanton, CA
- NPI 1912359449
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.