NPIMap

Individual provider Active NPI

Omar M Issa, D.O.

  • Cardiovascular Disease Physician
  • Coral Gables, FL
National Provider Identifier
1639515398
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS12687 Issued in FL
Practice address
475 Biltmore Way Ste 201
Coral Gables, FL 33134-5724
Phone
(305) 443-5291
NPI assigned
May 21, 2013
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS12687 FL Primary

Addresses

Primary practice location

475 Biltmore Way Ste 201
Coral Gables, FL 33134-5724

Mailing address

2797 1St St Apt 1202
Fort Myers, FL 33916-1861
Phone (561) 350-8824

Other practice location 1

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 674-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190516001131 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274755848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
College of Osteo Med of the Pacific at Pomona, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concierge Medical Associates PLLCGroup PAC ID 8820462369, 4 clinicians
Diagnostic Readers Group IncGroup PAC ID 6204802176, 40 clinicians

Practice addresses (Care Compare)

475 Biltmore Way
Suite 201
Coral Gables, FL 33134-5724
Phone (305) 443-5291

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88 of 100Reported as group
Quality
94.89
Promoting interoperability
100
Improvement activities
40
Cost
65.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12687FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Readers Group Inc Cardiovascular Disease CurrentSince Dec 1, 2019 Accepting new patients
Concierge Medical Associates PLLC Cardiovascular Disease CurrentSince Apr 1, 2023 Accepting new patients

Locations

475 Biltmore Way
Ste 201
Coral Gables, FL 33134
Phone (305) 443-5291

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1639515398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 1ST ST APT 1202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161861",
            "telephone_number": "561-350-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345724",
            "telephone_number": "305-443-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-674-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA",
        "first_name": "OMAR",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS12687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.