Omar Saleh Hajibrahim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

44369 Issued in KY

Practice address

1650 Cochrane Cir
Evans Army Community Hospital, Dept of Radiology
Ft Carson, CO 80913-4613

Phone

(719) 526-7986

NPI assigned

Nov 7, 2006

Last updated

Jun 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CO, CA, LA3 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 3

Specialty

Diagnostic Radiology

Education

University of Toledo College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians

Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians

Pontchartrain Diagnostic Imaging LLCGroup PAC ID 1951552900, 8 clinicians

Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
• San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
• Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326
• Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130
• San Luis Valley Health Conejos County Hospital Hospital, La Jara, CO, CCN 061308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lutheran Hospital Association of the San Luis Valley

  dba San Luis Valley Health Regional Medical Center

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Medicare reassignment Care Compare group NPD
• Radiology & Imaging Consultants PC

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1598700825
  Medicare reassignment Care Compare group NPD
• Uchealth Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Broomfield, CO
  • NPI 1396210902
  Medicare reassignment Care Compare group NPD
• Pontchartrain Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1760734685

  CO

  Medicare reassignment Care Compare group NPD
• Allegiance Hospital of Many, LLC

  dba Sabine Medical Center

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Medicare reassignment NPD
• Blue Ridge Healthcare Medical Group Inc

  dba BRHC Radiology Practice

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1639244478

  CO

  Medicare reassignment NPD
• CLHG-Acadian LLC

  dba Acadian Medical Center

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1942977657

  Diagnostic Radiology

  Medicare reassignment NPD
• CLHG-Oakdale LLC

  dba Oberlin Express Care

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment NPD
• CLHG-Ville Platte LLC

  dba Mercy Regional Medical Center

  • Anesthesiology Physician
  • Ville Platte, LA
  • NPI 1285811927

  Diagnostic Radiology

  Medicare reassignment NPD
• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Diagnostic Imaging Associates

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1194807271

  CO

  Medicare reassignment NPD
• Hawkeye Medical, LLC

  • Hospitalist Physician
  • Marksville, LA
  • NPI 1952630360
  Medicare reassignment NPD

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

• Lutheran Hospital Association of the San Luis Valley

  dba SLV Health Conejos County Hospital

  • Critical Access Hospital Clinic/Center
  • La Jara, CO
  • NPI 1194792762
  Care Compare affiliation
• Lutheran Hospital Association of the San Luis Valley

  dba San Luis Valley Health Regional Medical Center

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Care Compare affiliation
• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1073172201
  Care Compare affiliation
• Uch-MHS

  dba UCHealth Emergency Room - Powers

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1124518113
  Care Compare affiliation
• Uch-MHS

  dba Memorial Health System

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1144397134
  Care Compare affiliation
• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1154030732
  Care Compare affiliation
• Uch-MHS

  dba UCHealth Emergency Room - Fountain

  • General Acute Care Hospital
  • Fountain, CO
  • NPI 1295225274
  Care Compare affiliation
• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1316506231
  Care Compare affiliation
• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1407532559
  Care Compare affiliation
• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1518526441
  Care Compare affiliation
• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1538958400
  Care Compare affiliation
• Uch-MHS

  dba UCHealth Emergency Room - Woodmen

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1578053567
  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1649349408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19368 QUEENS CRESCENT WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328413",
            "telephone_number": "719-526-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "address_2": "EVANS ARMY COMMUNITY HOSPITAL, DEPT OF RADIOLOGY",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJIBRAHIM",
        "first_name": "OMAR",
        "middle_name": "SALEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "TRN8131",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "44369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Midhat Habib, DDS
• Jamie Virginia Hack Gordon, PHARM.D.
• Laura D Hackett I, MSOT
• Cherith Hager
• Amanda Haight, PSYD
• Robert Bryan Haldeman Jr., RD
• Chad Allen Haley, MD
• Rosemarie Gerda Hall-Heyduk, LMFT, CAC III
• Lauren Whitney Hall, PA-C
• Emily Whitby Halloran, DPT

• Diagnostic Radiology Physician in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.