Active NPI
Susan R O'Mara, MD
- Emergency Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD034561
- Practice address
- 110 Irving St NW
Washington, DC 20010-2976 - Phone
- (202) 877-7000
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD034561 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-2976
Mailing address
1000 River Rd
Ste 100
Conshohocken, PA 19428-2439
Phone (800) 355-3818
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J8790001 | Other | DC | BLUE SHIELD |
| 75859902 | Other | MD | BLUE SHIELD |
| P00200569 | Other | DC | RAILROAD MED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034561 | DC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Emerg Phys | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| National Emergency Services District of Columbia Inc | Emergency Medicine | Past | Accepting new patients |
| Medstar Medical Group II LLC | Past | Accepting new patients | |
| Medlantic Healthcare Group | Emergency Medicine | Past | Accepting new patients |
| Greater Washington Emergency Physicians Chartered | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Medstar Health Physical Therapy | Hospital | Corporate Director W-2 Managing Employee |
Jun 5, 2024 Oct 16, 2004 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital
- Washington, DC
- NPI 1528061827
Corporate Director, W-2 Managing Employee
-
- Rehabilitation Clinic/Center
- Oxon Hill, MD
- NPI 1578639761
Corporate Director, W-2 Managing Employee
Organizations & group practices 8
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1205562816
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1588655963
-
- Specialist
- Fort Washington, MD
- NPI 1346389988
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1710033451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"address_2": "STE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282439",
"telephone_number": "800-355-3818",
"fax_number": "610-834-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "MD034561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J8790001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "75859902",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MED",
"identifier": "P00200569",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.