Individual provider Active NPI

Omar N Ahmad, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1801002209
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-114080 Issued in IL
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

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
353158MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080812000432 WI Practitioner - Diagnostic Radiology 5597866616 Reassigns benefits to 3 organizations
I20230628004006 IL Practitioner - Diagnostic Radiology 5597866616 Reassigns benefits to 2 organizations

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
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians
Amg Illinois LTDGroup PAC ID 8527117027, 24 clinicians

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

OrganizationSpecialtyStatusNew patients
Amg Illinois LTD CurrentSince Apr 13, 2024 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Mar 14, 2011 Accepting new patients
Amg Illinois LTD CurrentSince Apr 13, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 7, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 7, 2023 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 14, 2014 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2008 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Mar 14, 2011 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2008 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.