Nidal Bassam Omar

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD.36032 Issued in AL

Practice address

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512

Phone

(251) 232-3314

NPI assigned

Apr 10, 2015

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Neurosurgery

Education

University of Alabama School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Neurosurgery LLCGroup PAC ID 7012267768, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Mobile, AL, CCN 017155
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nomar114983@directinfirmaryhealth.org

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.

• Imc-Neurosurgery LLC

  • Neurological Surgery Physician
  • Mobile, AL
  • NPI 1649778259
  Medicare reassignment Care Compare group NPD

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

• Eh Health Home Health of Alabama, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Mobile, AL
  • NPI 1760944557
  Care Compare affiliation
• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1639565294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073512",
            "telephone_number": "251-435-6850",
            "fax_number": "251-435-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073512",
            "telephone_number": "251-232-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "NIDAL",
        "middle_name": "BASSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "MD.36032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavia Oliver
• Steven Andrew Oliver, D.M.D, M.S.
• Tabitha Wilkins Olzinski, LCSW
• Bassam A. Omar, MD
• Mariam Husam Omar
• Omega Adult Day Care
• Omega Supported Living Services
• Allison Omohundro
• Erica Onagbola, PHARM D
• One Source of the Gulf Coast Inc.

• Neurological Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Neurological Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.

Verify at the official NPI Registry.