Omar Alani, M.D.
Individual provider Active NPI Pediatrics Physician · Roxbury, MA
NPI 1689634073 · NPPES record last updated Dec 4, 2021
Key facts
- NPI
- 1689634073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME87705 (FL)
- Practice address
- 1290 Tremont St Ste 4
Roxbury, MA 02120-3432 - Phone
- (239) 949-0079
- Fax
- (239) 949-0907
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
366 Shrewsbury St
Worcester, MA 01604-4647
Phone (508) 595-2700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220907002389 | MA | Practitioner - Pediatric Medicine | 0345248209 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87705 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Pediatrics | Current |
Accepting new patients |
| Atrius Health, Inc. | Pediatrics | Current | Accepting new patients |
| Reliant Medical Group, Inc | Pediatrics | Current |
Accepting new patients |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Emergency Physicians of Naples PLLC | Past | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175
366 Shrewsbury St
Worcester, MA 01604
Phone (508) 595-2700
Interoperability endpoints
- oalanimd350956@direct.atrius.masshiway.net
- omar.alani.npi1689634073.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME87705 | FL | Yes |
Addresses
Primary practice location
1290 Tremont St Ste 4
Roxbury, MA 02120-3432
Mailing address
1290 Tremont St
Roxbury, MA 02120-3432
Phone (617) 427-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267886100 | Medicaid | FL |
Other providers in Roxbury, MA
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- Daijah Aikens-Taylor
- Janet Akins
- Theresa Renee Albert-Dejesus
- Preshes Angel Alexander
- Michelle Alto
- Adelina Alves
- Adyonela Barbosa Alves
All providers in Roxbury, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.