Active NPI
Ibrahim Abdullahi Omar, MD
- Anesthesiology Physician
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 72013
- Practice address
- 14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876 - Phone
- (763) 559-3779
- NPI assigned
- Mar 28, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
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
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
- Allina United Hospital
- M Health Fairview Woodwinds Hospital
- Mayo Clinic Hospital Rochester
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Anesthesiology | Current | Accepting new patients |
| Mayo Clinic | Current | 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
2975 Holiday Ct
Ste 100
Saint Paul, MN 55121
Phone (612) 515-1996
2945 Hazelwood St
Ste 300
Saint Paul, MN 55109
Phone (651) 471-9701
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
587 Bielenberg Dr
Ste 100
Woodbury, MN 55125
Phone (651) 203-4673
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
7115 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 968-5468
2080 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 642-9199
Interoperability endpoints
- 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Medical Specialty Clinic/Center
- Rochester, MN
- NPI 1427235068
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.