Individual provider Active NPI

Omid M Seylabi, MD

  • Obstetrics & Gynecology Physician
  • Lighthouse Point, FL
National Provider Identifier
1619097169
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME98075 Issued in FL
Practice address
2100 NE 36TH St
Suite 201
Lighthouse Point, FL 33064-7574
Phone
(954) 781-0180
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME98075 FL Primary

Addresses

Primary practice location

2100 NE 36TH St
Suite 201
Lighthouse Point, FL 33064-7574

Mailing address

241 Lafayette Rd
Apt 341
Syracuse, NY 13205-2931
Phone (315) 416-3753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Omid.seylabi002@holy-cross.com Other

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
I20100203000828 FL Practitioner - Obstetrics/Gynecology 9931242674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Aug 14, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1309 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2100 NE 36th St
Ste 201
Lighthouse Point, FL 33064
Phone (954) 781-0180

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: omid.seylabi002@holy-cross.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 6

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1619097169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 LAFAYETTE RD",
            "address_2": "APT 341",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052931",
            "telephone_number": "315-416-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE 36TH ST",
            "address_2": "SUITE 201",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-781-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYLABI",
        "first_name": "OMID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME98075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Omid.seylabi002@holy-cross.com",
            "affiliation": "N",
            "endpointDescription": "Trinity direct mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CCD",
            "address_1": "2100 NE 36th St",
            "address_2": "Suite 201",
            "city": "Lighthouse Point",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330647574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.