Active NPI
Omar N Ahmad, MD
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-114080
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7208 - Phone
- (214) 645-0624
- Fax
- (214) 645-0078
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M5609 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 036-114080 | IL | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Mailing address
PO Box 845347
Dallas, TX 75284-4011
Phone (214) 645-0624
Other practice location 1
45 Tower Ct Ste C
Gurnee, IL 60031-3376
Phone (847) 623-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353158 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | oahmad9413@direct.myadvocateaurora.org | Direct | |
| Direct Messaging Address | oahmad9413@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- 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 Compare- Specialty
- Diagnostic Radiology
- Education
- Southern Illinois University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300
10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000
1100 Gateway CT
West Bend, WI 53095-8539
Phone (262) 335-8600
1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 456-2030
12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200
12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5000
13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000
14555 W National Ave
Suite 120
New Berlin, WI 53151-4494
Phone (262) 827-2955
146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000
1475 W Grand Ave
Port Washington, WI 53074-2074
Phone (262) 268-5100
1550 Hobbs Dr
Delavan, WI 53115-2027
Phone (262) 740-4200
1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000
1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000
1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200
200 E Ryan Rd
Oak Creek, WI 53154-4563
Phone (414) 570-3590
2000 E Layton Ave
Saint Francis, WI 53235-6053
Phone (414) 744-6589
201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 723-3100
205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123
210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-4800
215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700
2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461
2424 S 90TH St
Suite 306
West Allis, WI 53227-2455
Phone (414) 328-8750
248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000
252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg Illinois LTD | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Amg Illinois LTD | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations (25 of 35)
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
45 Tower Ct
Gurnee, IL 60031
Phone (847) 623-3200
45 Tower Ct
#C
Gurnee, IL 60031
Phone (847) 623-3200
1611 S Madison St
Appleton, WI 54915
Phone (920) 727-4395
112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621
W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000
12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434
210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421
2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100
2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200
1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000
7550 22nd Ave
Kenosha, WI 53143
Phone (262) 658-2500
601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841
3130 Shore Dr
Marinette, WI 54143
Phone (715) 735-7421
4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000
3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
5818 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 447-8071
8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000
Interoperability endpoints
- oahmad9413@direct.myadvocateaurora.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Gurnee, IL
- NPI 1972741759
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Diagnostic Radiology
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Durable Medical Equipment & Medical Supplies
- Gurnee, IL
- NPI 1871873778
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
- General Acute Care Hospital
- Summit, WI
- NPI 1699008029
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1801002209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844011",
"telephone_number": "214-645-0624",
"fax_number": "214-645-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907208",
"telephone_number": "214-645-0624",
"fax_number": "214-645-0078"
}
],
"practiceLocations": [
{
"address_1": "45 Tower Ct Ste C",
"address_purpose": "LOCATION",
"city": "Gurnee",
"state": "IL",
"postal_code": "600313376",
"country_code": "US",
"telephone_number": "847-623-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "OMAR",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M5609",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-114080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353158",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "5323 Harry Hines Blvd",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "753907208",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oahmad9413@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5323 Harry Hines Blvd",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "753907208",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oahmad9413@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "45 Tower Ct Ste C",
"city": "Gurnee",
"state": "IL",
"country_code": "US",
"postal_code": "600313376",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.