Mahmoud M Omari, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

30575 Issued in AZ

Practice address

5882 S Hospital Dr
Suite 4
Globe, AZ 85501-9455

Phone

(928) 425-0688

Fax

(928) 425-0689

NPI assigned

Oct 12, 2005

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pediatric Medicine

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mahmoud.omari.1@6501.direct.athenahealth.com

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.

• Erick Madrigal, MD, Mba, Inc.

  dba Living Water Community Health & Wellness Clinic

  • Family Medicine Physician
  • Porterville, CA
  • NPI 1609124692
  Medicare reassignment NPD
• Mahmoud M Omari MD PC

  • Pediatrics Physician
  • Globe, AZ
  • NPI 1588719520
  NPD Authorized official
• Erick Madrigal MD Mba Inc

  • Rural Health Clinic/Center
  • Lindsay, CA
  • NPI 1295544682
  NPD
• Dean D Ettinger MD PC

  • Pediatric Adolescent Medicine Physician
  • Sierra Vista, AZ
  • NPI 1689925711
  NPD (past)
• Dean Ettinger MD, PC

  • Pediatrics Physician
  • Sierra Vista, AZ
  • NPI 1013048149
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1841288859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 4",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-425-0688",
            "fax_number": "928-425-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR",
            "address_2": "SUITE 4",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-425-0688",
            "fax_number": "928-425-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Sequoia Ave",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "CA",
            "postal_code": "932471424",
            "country_code": "US",
            "telephone_number": "559-562-1361",
            "fax_number": "559-789-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMARI",
        "first_name": "MAHMOUD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A192389",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "30575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Moran, MD
• Sibongile Cherry Mpofu
• Nazcare, Inc - Care Wellness Center
• Phuong Nguyen, MD
• Oasis Wellness LLC
• Nana Owusu
• Lori A Park, MS,LCSW
• Miloni Patel, RN
• Mary Beth Patterson
• Laura Marie Paulson, PA-C

• Pediatrics Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.