Active NPI
Adan Mohamed Omar, M.D
- Orthopaedic Surgery of the Spine Physician
- Edina, MN
National Provider Identifier
1699169615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 67270
- Practice address
- 4010 W 65TH St
Edina, MN 55435-1706 - Phone
- (952) 456-7000
- Fax
- (952) 456-7001
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 67270 | MN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 67270 | MN | Primary |
Addresses
Primary practice location
4010 W 65TH St
Edina, MN 55435-1706
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Meharry Medical College School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 456-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 13 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67270 | MN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Orthopaedic Surgery | Current | Accepting new patients |
| St. Croix Orthopaedics, PA | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
Orthopaedic Surgery
-
- Specialist
- Oak Park Heights, MN
- NPI 1255337945
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1699169615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR STE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224841",
"telephone_number": "952-512-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 W 65TH ST",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-456-7000",
"fax_number": "952-456-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMAR",
"first_name": "ADAN",
"middle_name": "MOHAMED",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "67270",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MN",
"license": "67270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.