Active NPI
Omar Essam Awad, MD
- Ophthalmology Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 44159
- Practice address
- 7125 Tamarack Rd Ste 100
Woodbury, MN 55125-1308 - Phone
- (952) 888-5800
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 44159 | MN | |
| Ophthalmology Physician | 207W00000X | 44159 | MN | Primary |
Addresses
Primary practice location
7125 Tamarack Rd Ste 100
Woodbury, MN 55125-1308
Mailing address
9801 Dupont Ave S
Ste 425
Bloomington, MN 55431-3873
Phone (952) 888-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00138842 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Ophthalmology
- Education
- University of Minnesota Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.11 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Eye Consultants, PA | Ophthalmology | Current | Accepting new patients |
| Lufkin Eye Clinic PA | Ophthalmology | Past | Accepting new patients |
Locations
11091 Ulysses St NE
Ste 300
Blaine, MN 55434
Phone (763) 421-9410
9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431
9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092
10709 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
1347 Larpenteur Ave W
Saint Paul, MN 55113
Phone (651) 558-2020
7125 Tamarack Rd
Ste 100
Woodbury, MN 55125
7125 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 748-4444
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Bloomington, MN
- NPI 1508839879
-
- Ophthalmology Physician
- Saint Paul, MN
- NPI 1386740637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1619942174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S",
"address_2": "STE 425",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313873",
"telephone_number": "952-888-5800",
"fax_number": "651-641-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 TAMARACK RD STE 100",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251308",
"telephone_number": "952-888-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "OMAR",
"middle_name": "ESSAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "44159",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "44159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00138842",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.