NPIMap

Individual provider Active NPI

Ibrahim Abdullahi Omar, MD

  • Anesthesiology Physician
  • Plymouth, MN
National Provider Identifier
1851978449
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
72013 Issued in MN
Practice address
14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876
Phone
(763) 559-3779
NPI assigned
Mar 28, 2021
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 72013 MN Primary

Addresses

Primary practice location

14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876

Mailing address

PO Box 47159
Plymouth, MN 55447-0159
Phone (763) 559-3779

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iomar1418566@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825002586 MN Practitioner - Anesthesiology 8224439161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians
Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 11, 2022 Accepting new patients
Mayo Clinic CurrentSince Jul 11, 2022 Accepting new patients
Metropolitan Anesthesia Network, LLP Anesthesiology CurrentSince Jul 17, 2025 Accepting new patients
Mayo Clinic Current Accepting new patients

Locations

2620 Eagan Woods Dr
Ste 300
Eagan, MN 55121
Phone (651) 968-5215

1965 11th Ave E
Ste 103
Maplewood, MN 55109
Phone (651) 748-4444

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

15450 Highway 7
Ste 200
Minnetonka, MN 55345
Phone (763) 581-8950

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

2945 Hazelwood St
Ste 300
Saint Paul, MN 55109
Phone (651) 471-9701

2975 Holiday Ct
Ste 100
Saint Paul, MN 55121
Phone (612) 515-1996

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

1155 County Road E E
Ste 200
Vadnais Heights, MN 55110
Phone (651) 760-7020

3580 Arcade St
Ste 20
Vadnais Heights, MN 55127

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

2080 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 642-9199

587 Bielenberg Dr
Ste 100
Woodbury, MN 55125
Phone (651) 203-4673

7115 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 968-5468

Interoperability endpoints

  • Direct secure messaging: iomar1418566@ehrdirect.mayoclinicmsg.org

Organizations & group practices 4

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1851978449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47159",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554470159",
            "telephone_number": "763-559-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 28TH AVE N STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474876",
            "telephone_number": "763-559-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "IBRAHIM",
        "middle_name": "ABDULLAHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "72013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iomar1418566@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.