Individual provider Active NPI

Omar Cid, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1609220300
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME137097 Issued in FL
Practice address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone
(904) 953-2000
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME137097 FL Primary

Addresses

Primary practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210709000110 FL Practitioner - Diagnostic Radiology 1153613179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935

15340 S Jog Rd
Suite 160
Delray Beach, FL 33446-2170
Phone (561) 496-6935

1572 Palm Beach Lakes Blvd
Suite 2
West Palm Beach, FL 33401-2338
Phone (561) 496-6935

23071 State Rd
Suite 7
Boca Raton, FL 33428-5433
Phone (561) 496-6935

2565 S State Rd
Suite 7
Wellington, FL 33414-9368
Phone (561) 496-6935

2863 S State Rd
7 Suite 400
Wellington, FL 33414-9435
Phone (561) 496-6935

6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935

626 Lazy Meadow Dr E
Jacksonville, FL 32225-3431
Phone (904) 339-5550

8142 Glades Rd
Boca Raton, FL 33434-4064
Phone (561) 496-6935

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients

Locations

8142 Glades Rd
Boca Raton, FL 33434
Phone (561) 314-2500

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

1425 Gateway Blvd
Ste 100
Boynton Beach, FL 33426

15340 S Jog Rd
Ste 160
Delray Beach, FL 33446

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2863 S State Road 7
Ste 400
Wellington, FL 33414

2565 S State Road 7
Wellington, FL 33414
Phone (561) 727-2300

1572 Palm Beach Lakes Blvd
Ste 2
West Palm Beach, FL 33401

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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 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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1609220300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CID",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME137097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.