Individual provider Active NPI

Omer A Ilahi, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Baytown, TX
National Provider Identifier
1760489686
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
H7616 Issued in TX
Practice address
3711 Garth Rd
Suite E
Baytown, TX 77521-3178
Phone
(281) 428-1001
Fax
(713) 800-1101
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X H7616 TX Primary

Addresses

Primary practice location

3711 Garth Rd
Suite E
Baytown, TX 77521-3178

Mailing address

6560 Fannin St
Ste 1016
Houston, TX 77030-2761
Phone (713) 800-1100

Other identifiers 1

IdentifierTypeStateIssuer
1320533-07MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110112000951 TX Practitioner - Orthopedic Surgery 7719956036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, shared by 9 NPIs, 91 clinicians
Southwest Orthopedic Group, LLPGroup PAC ID 2567431877, 8 clinicians

Practice addresses (Care Compare)

13440 University Blvd
Suite 210
Sugar Land, TX 77479-4909
Phone (281) 277-1330

6560 Fannin St
Suite 1016
Houston, TX 77030-2725
Phone (713) 610-4270

Hospital & facility affiliations

  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7616TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopedic Group, LLP CurrentSince Sep 1, 2002 Accepting new patients
Southwest Orthopedic Group, LLP Sports Medicine CurrentSince Sep 1, 2002 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

3711 Garth Rd
Ste E
Baytown, TX 77521
Phone (713) 610-4270

6560 Fannin St
Ste 1016
Houston, TX 77030
Phone (713) 610-4270

10970 Shadow Creek Pkwy
Ste 130
Pearland, TX 77584
Phone (713) 610-4270

16651 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (713) 776-9500

1350 Creek Way Dr
Sugar Land, TX 77478
Phone (713) 610-4270

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/256/brand/1/csg/1/fhir/r4
  • Direct secure messaging: omer.ilahi.1@256.direct.athenahealth.com
  • Direct secure messaging: oilahi26080@directhoustonmethodist.org
  • FHIR API: https://api.platform.athenahealth.com/6286/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1760489686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 1016",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-800-1100",
            "fax_number": "713-800-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 GARTH RD",
            "address_2": "SUITE E",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213178",
            "telephone_number": "281-428-1001",
            "fax_number": "713-800-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAHI",
        "first_name": "OMER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "H7616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320533-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.