Individual provider Active NPI

Sean O'Mara, M.D.

  • Emergency Medicine Physician
  • Foley, AL
National Provider Identifier
1881084507
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.37290 Issued in AL
Practice address
1265 S McKenzie St
Foley, AL 36535-1818
Phone
(251) 923-4633
NPI assigned
Feb 2, 2015
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD.37290 AL Primary

Addresses

Primary practice location

1265 S McKenzie St
Foley, AL 36535-1818

Mailing address

1265 S McKenzie St
Foley, AL 36535-1818
Phone (251) 923-4633

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-0669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20201119002548 AL Practitioner - Internal Medicine 6608287859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care Foley, LLCGroup PAC ID 9830330695, 6 clinicians

Practice addresses (Care Compare)

1265 S McKenzie St
Foley, AL 36535-1818
Phone (251) 923-4633

Merit-based Incentive Payment System (MIPS)

Final score
81.12 of 100Reported as individual
Quality
72.74
Improvement activities
40
Cost
73.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.37290ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamus Mobile Urgent Care CurrentSince Nov 1, 2020 Accepting new patients
Jamus Foley Urgent Care CurrentSince Nov 1, 2020 Accepting new patients

Locations

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

Interoperability endpoints

  • Direct secure messaging: seanomara@ics.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1881084507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351818",
            "telephone_number": "251-923-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351818",
            "telephone_number": "251-923-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-02",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.37290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.