Active NPI
Omama Ahmad, MD
- Pediatric Hematology & Oncology Physician
- San Antonio, TX
National Provider Identifier
1679192165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- W5713
- Practice address
- 4410 Medical Dr Ste 540
San Antonio, TX 78229-3755 - Phone
- (210) 575-6240
- Fax
- (210) 575-6280
- NPI assigned
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | W5713 | TX | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 161854 | FL |
Addresses
Primary practice location
4410 Medical Dr Ste 540
San Antonio, TX 78229-3755
Mailing address
7740 Meadow Cir
Meridian, MS 39305-9528
Phone (601) 479-4983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200908000034 | MS | Order and Referring Only - Pediatric Medicine | 1951728922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161854 | FL | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1679192165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 MEADOW CIR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393059528",
"telephone_number": "601-479-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR STE 540",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293755",
"telephone_number": "210-575-6240",
"fax_number": "210-575-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "OMAMA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "W5713",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "FL",
"license": "161854",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.