Omar M Awale, MD

Key facts

NPI

1811954571

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

35086218 (OH)

Practice address

2330 Morse Rd
Suite a
Columbus, OH 43229-5804

Phone

(614) 428-8100

Fax

(614) 428-8101

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 2

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.

• Minerva Park Family Practice, LLC Family Medicine Physician · Columbus, OH · NPI 1952548927
  NPD (past) Authorized official FAMILY MEDICINE
• Ohio State University Orthopedic Orthopaedic Surgery Physician · Columbus, OH · NPI 1710944814
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2013.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1811954571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MORSE RD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295804",
            "telephone_number": "614-428-8100",
            "fax_number": "614-428-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MORSE RD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295804",
            "telephone_number": "614-428-8100",
            "fax_number": "614-428-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWALE",
        "first_name": "OMAR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35086218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2577706",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sylvia Awadalla, MD
• Anum Awais, MD
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• Yasmine Hamdallah Awal, LSW
• Sumayo Awale
• Hisham M Awan, M.D.
• Rizwan Ali Awan
• Sohaib Awan, MD
• Ayat Abdulkadir Aweis

All providers in Columbus, OH · Family Medicine Physician in Ohio