Omar Viswanath, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

55185 Issued in AZ

Practice address

2222 E Highland Ave Ste 110
Phoenix, AZ 85016-4874

Phone

(602) 767-0007

NPI assigned

Jul 15, 2013

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 AZ

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

Pain ManagementAlso: Anesthesiology

Education

Creighton University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mountain View Headache and Spine Institute PLLCGroup PAC ID 9830590439, 8 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mountain View Headache and Spine Institute PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1356925960
  Medicare reassignment Care Compare group NPD
• Innovative Pain and Wellness PLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1659812444
  Medicare reassignment NPD
• Mountain View Pain and Wellness Inc

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1255166120
  Medicare reassignment NPD
• RSH LLC

  • Multi-Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1861275729
  Medicare reassignment NPD
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1396428009
  NPD
• Mountain View Headache and Spine Institute PLLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1306688114

  Anesthesiology

  NPD

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1669813994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164874",
            "telephone_number": "602-767-0007",
            "fax_number": "602-767-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164874",
            "telephone_number": "602-767-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookline Place",
            "address_2": "Arnold Warfield Pain Center",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "02445",
            "country_code": "US",
            "telephone_number": "617-278-8000",
            "fax_number": "617-278-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 N Central Ave Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85004",
            "country_code": "US",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 N Central Ave Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85004",
            "country_code": "US",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Missouri Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85012",
            "country_code": "US",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISWANATH",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "271672",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "55185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis J Visser, DDS
• Timothy Visser, N.D.
• Rachel Vissichelli
• Vista South Assisting Living
• Crystal V Viste, PHARMD
• Rajidivya Viswanathan, MD
• Vita Bella Medical Group PA of Florida
• Vitafuse, LLC
• Amanda Vitagliano, PA
• Joseph Andrew Vitagliano, PA-C

• Pain Medicine (Anesthesiology) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.