Individual provider Active NPI

Adil Mohamed Abdelhag Omer, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1609360643
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
330780 Issued in NY
Practice address
2351 E 22ND St
Cleveland, OH 44115-3111
Phone
(216) 861-6200
Fax
(216) 363-7490
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 330780 NY Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115-3111

Mailing address

3328 Euclid Ave
Cleveland, OH 44115-2540
Phone (646) 715-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240216003515 OH Practitioner - Diagnostic Radiology 0648639120 Reassigns benefits to 1 organization
I20240904000477 NY Practitioner - Diagnostic Radiology 0648639120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

  • Harlem Hospital Center Hospital, New York, NY, CCN 330240
  • Metropolitan Hospital Center Hospital, New York, NY, CCN 330199
  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
63.63
Promoting interoperability
85
Improvement activities
40
Cost
73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation Single Specialty CurrentSince Jun 15, 2024 Accepting new patients
Columbus Radiology Corp Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation Single Specialty Current Accepting new patients
New York City Health and Hospitals Corporation Single Specialty CurrentSince Jun 15, 2024 Accepting new patients

Locations

234 E 149th St
Rm 8D200
Bronx, NY 10451

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

227 Madison St
New York, NY 10002
Phone (212) 238-7000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: aomer853502@nychhc.direct-ci.com

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 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1609360643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152540",
            "telephone_number": "646-715-7992",
            "fax_number": "216-363-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200",
            "fax_number": "216-363-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMER",
        "first_name": "ADIL",
        "middle_name": "MOHAMED ABDELHAG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "330780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.