Individual provider Active NPI

Daniel Omire-Mayor, D.O., M.S., M.B.A.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1831504505
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO034694 Issued in DC
Practice address
1160 Varnum St NE
Washington, DC 20017-2107
Phone
(202) 854-4812
Fax
(202) 854-7825
NPI assigned
Jun 21, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO034694 DC Primary

Addresses

Primary practice location

1160 Varnum St NE
Washington, DC 20017-2107

Mailing address

1160 Varnum St NE FL Hall1
Washington, DC 20017-2107
Phone (202) 854-4812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20171013000139 DC Practitioner - Family Practice 0345543799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

1150 Varnum St NE
Washington, DC 20017-2104

128 M St NW
PHS Perry Family Health Center
Washington, DC 20001-1205
Phone (202) 854-3840

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300

765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone (202) 388-8160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
DO034694DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Oct 25, 2017 Accepting new patients
Unity Health Care Inc. CurrentSince Oct 25, 2017 Accepting new patients
Providence Health Services, Inc CurrentSince Sep 12, 2017 Accepting new patients
Providence Health Services Inc Family Medicine CurrentSince Sep 12, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1160 Varnum St NE
Washington, DC 20017
Phone (202) 525-1448

1160 Varnum St NE
Fl HALL1
Washington, DC 20017

1160 Varnum St NE
Ste 110
Washington, DC 20017
Phone (202) 854-4080

1160 Varnum St NE
Ste 312
Washington, DC 20017
Phone (202) 526-7031

128 M St NW
Washington, DC 20001
Phone (202) 854-3840

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160

Interoperability endpoints

  • Direct secure messaging: daniel.omiremayor@uhci.eclinicaldirectplus.com
  • Direct secure messaging: daniel.omiremayordo.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831504505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE FL HALL1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-854-4812",
            "fax_number": "202-854-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-854-4812",
            "fax_number": "202-854-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIRE-MAYOR",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "DO034694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.