NPIMap

Individual provider Active NPI

Omar Qahwash, D.O.

  • Neurological Surgery Physician
  • East Lansing, MI
National Provider Identifier
1669649406
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5101015383 Issued in MI
Practice address
1575 Ramblewood Dr
Ste 200
East Lansing, MI 48823-6384
Phone
(517) 827-1800
Fax
(517) 827-1805
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 5101015383 MI Primary

Addresses

Primary practice location

1575 Ramblewood Dr
Ste 200
East Lansing, MI 48823-6384

Mailing address

1575 Ramblewood Dr
Ste 200
East Lansing, MI 48823-6384
Phone (517) 827-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080826000298 MI Practitioner - Neurosurgery 6800969627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Suite 340 University of Michigan Health SP
Lansing, MI 48912-1894
Phone (517) 364-5930

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326
  • Sparrow Ionia Hospital Hospital, Ionia, MI, CCN 231331
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015383MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Neurological Surgery CurrentSince Feb 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Feb 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1575 Ramblewood Dr
Ste 200
East Lansing, MI 48823
Phone (517) 827-1800

1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 340
Lansing, MI 48912
Phone (517) 364-5930

Interoperability endpoints

  • Direct secure messaging: omarqahwash@compass.allscriptsdirect.net

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 7

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1669649406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 RAMBLEWOOD DR",
            "address_2": "STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236384",
            "telephone_number": "517-827-1800",
            "fax_number": "517-827-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 RAMBLEWOOD DR",
            "address_2": "STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236384",
            "telephone_number": "517-827-1800",
            "fax_number": "517-827-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAHWASH",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "5101015383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.