NPIMap

Individual provider Active NPI

Omar Mtaweh Murad, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairfield, CA
National Provider Identifier
1598738015
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A115859 Issued in CA
Practice address
2720 Low Court
Fairfield, CA 94534-9771
Phone
(707) 427-4900
Fax
(707) 436-2511
NPI assigned
Feb 8, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061133A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01061133A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A115859 CA Primary

Addresses

Primary practice location

2720 Low Court
Fairfield, CA 94534-9771

Mailing address

2720 Low Court
Fairfield, CA 94534-9771
Phone (707) 427-4900

Other identifiers 1

IdentifierTypeStateIssuer
200802930MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000208 CA Practitioner - Endocrinology 3476567397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Endocrine Clinic IncGroup PAC ID 9638478415, 2 clinicians

Practice addresses (Care Compare)

2089 Vale Rd
Suite 10
San Pablo, CA 94806-3848
Phone (510) 883-9005

3000 Colby St
Suite 203B
Berkeley, CA 94705-2058
Phone (510) 883-9005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
68.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061133AINMDInternal Medicine Physician
A115859CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Endocrine Clinic, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2014 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Tracy T. Phillips, MD, Medical Corporation PastSince Dec 4, 2009 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Elkhart General Hospital, Inc. Past Accepting new patients

Locations

3000 Colby St
Ste 203B
Berkeley, CA 94705
Phone (510) 883-9005

2089 Vale Rd
Ste 10
San Pablo, CA 94806
Phone (510) 234-3600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: omar.murad.1@8806.direct.athenahealth.com
  • Direct secure messaging: omuradmd90697@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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 11

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1598738015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 LOW COURT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349771",
            "telephone_number": "707-427-4900",
            "fax_number": "707-436-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 LOW COURT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349771",
            "telephone_number": "707-427-4900",
            "fax_number": "707-436-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAD",
        "first_name": "OMAR",
        "middle_name": "MTAWEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061133A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01061133A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A115859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200802930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.