Omar Nihad Al-Masri, MD

Key facts

NPI

1770212433

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nephrology Physician 2080P0210X

License

82344 (WI)

Practice address

1000 N Oak Ave
Marshfield, WI 54449-5702

Phone

(715) 387-5511

NPI assigned

Jun 8, 2022

Sex

Male

Sole proprietor

Yes

Organizations & group practices 11

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.

• Beaver Dam Community Hospitals Inc Clinic/Center · Beaver Dam, WI · NPI 1972188555
  Medicare reassignment NPD WI
• Flambeau Hospital Inc Clinic/Center · Park Falls, WI · NPI 1194317966
  Medicare reassignment NPD WI
• Flambeau Hospital Inc Critical Access Hospital · Park Falls, WI · NPI 1700963048
  Medicare reassignment NPD WI
• Lakeview Medical Center Inc of Rice Lake Clinic/Center · Rice Lake, WI · NPI 1093201832
  Medicare reassignment NPD WI
• Marshfield Clinic Inc Clinic/Center · Marshfield, WI · NPI 1952347981
  Medicare reassignment NPD WI
• MCHS Hospitals Inc Clinic/Center · Marshfield, WI · NPI 1093221434
  Medicare reassignment NPD WI
• MCHS Hospitals Inc Critical Access Hospital · Ladysmith, WI · NPI 1952890873
  Medicare reassignment NPD WI
• Memorial Hospital Inc Critical Access Hospital · Neillsville, WI · NPI 1346239373
  Medicare reassignment NPD WI
• Beaver Dam Community Hospitals Inc Pharmacy · Beaver Dam, WI · NPI 1295771780
  NPD
• MCHS Hospitals Inc Durable Medical Equipment & Medical Supplies · Eau Claire, WI · NPI 1558230847
  NPD
• Memorial Hospital Inc Rural Health Clinic/Center · Neillsville, WI · NPI 1619966793
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2023.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1770212433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495702",
            "telephone_number": "715-221-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495702",
            "telephone_number": "715-387-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "KARAMA STREET",
            "address_2": "SHEIKH KHALIFA MEDICAL CITY",
            "address_purpose": "LOCATION",
            "city": "ABU DHABI",
            "state": "UAE",
            "postal_code": "767107",
            "country_code": "AE",
            "telephone_number": "515-520-3094 x2047",
            "country_name": "United Arab Emirates",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "AL-MASRI",
        "first_name": "OMAR",
        "middle_name": "NIHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A68546",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "WI",
            "license": "82344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

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• Maleeha Ajmal, MD
• Tiffany Akins, PHD
• Lalith Aditya Akkireddi, MD
• Abdullah Al Twal, MD
• Jeffrey Alboreo, PA
• Bakhtawar A Ali, MD
• Rashid Ali, MD
• Lama Ali Alibrahim, MD
• Michelle D. Alikpala, RN, BSN, MSN, AGNP-C

All providers in Marshfield, WI · Pediatric Nephrology Physician in Wisconsin