Active NPI
Omar Gaidarov
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1851118996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- BP10097880
- Practice address
- 1501 Red River St FL 2
Austin, TX 78712-1845 - Phone
- (512) 495-5555
- NPI assigned
- Sep 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BP10097880 | TX | Primary |
Addresses
Primary practice location
1501 Red River St FL 2
Austin, TX 78712-1845
Mailing address
8 Newport Ter Apt 1a
Quincy, MA 02170-3383
Phone (858) 243-0826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260620000228 | TX | Order and Referring Only - Psychiatry | 8628541745 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10097880 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1851118996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 NEWPORT TER APT 1A",
"city": "QUINCY",
"state": "MA",
"postal_code": "021703383",
"telephone_number": "858-243-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 RED RIVER ST FL 2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121845",
"telephone_number": "512-495-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIDAROV",
"first_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "BP10097880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.