Individual provider Active NPI

Omar Kass-Hout, M.D., MPH

  • Vascular Neurology Physician
  • Austin, TX
National Provider Identifier
1861631590
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
Q6855 Issued in TX
Practice address
3000 N Ih 35 Ste 610
Austin, TX 78705-1850
Phone
(512) 681-5050
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2017-01736 NC
Neurology Physician 2084N0400X 270463 NY
Neurology Physician 2084N0400X Q6855 TX
Vascular Neurology Physician 2084V0102X Q6855 TX Primary

Addresses

Primary practice location

3000 N Ih 35 Ste 610
Austin, TX 78705-1850

Mailing address

3000 N Ih 35 Ste 610
Austin, TX 78705-1850
Phone (212) 681-5050

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-7093

Other practice location 2

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 828-3890

Other identifiers 1

IdentifierTypeStateIssuer
03778383MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000421 TX Practitioner - Neurology 4789813528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. David'S Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

3000 N Ih
35 Suite 610
Austin, TX 78705-1850
Phone (512) 681-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270463NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Ortho, Neuro and Rehab, PLLC Neurology CurrentSince Jul 8, 2024 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients
Neurotexas, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3000 Ih 35 N
Ste 610
Austin, TX 78681
Phone (512) 661-5050

7200 Wyoming Springs Dr
Ste 1550
Round Rock, TX 78681
Phone (512) 726-0599

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

Interoperability endpoints

  • Direct secure messaging: 10605-kasshout-omar@direct.leadingreach.com
  • Direct secure messaging: omar.kasshout@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1861631590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 610",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051850",
            "telephone_number": "212-681-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 610",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051850",
            "telephone_number": "512-681-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-7093",
            "fax_number": "919-784-7395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Abbott Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142202039",
            "country_code": "US",
            "telephone_number": "716-828-3890",
            "fax_number": "716-828-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASS-HOUT",
        "first_name": "OMAR",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2017-01736",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "270463",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q6855",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "Q6855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03778383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.