Individual provider Active NPI

Omar Syed, M.D.

  • Pain Medicine Physician
  • Glendale, AZ
National Provider Identifier
1902165046
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
54263 Issued in AZ
Practice address
6320A W Union Hills Dr Ste 270
Glendale, AZ 85308-2151
Phone
(480) 561-5000
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 54263 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 54263 AZ
Pain Medicine Physician 208VP0000X 54263 AZ Primary

Addresses

Primary practice location

6320A W Union Hills Dr Ste 270
Glendale, AZ 85308-2151

Mailing address

6320A W Union Hills Dr Ste 270
Glendale, AZ 85308-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170728003089 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 5799056412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Eastern Virginia Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Practice addresses (Care Compare)

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

6320 A W Union Hills Dr
Suite 270
Glendale, AZ 85308-2151
Phone (480) 561-5000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pain and Spine Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Canyon Pain and Spine Pain Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

1425 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 329-3453

6320 W Union Hills Dr
Ste 270
Glendale, AZ 85308
Phone (480) 865-2800

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

10238 E Hampton Ave
Ste 416
Mesa, AZ 85209

4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811

21321 E Ocotillo Rd
Ste 125
Queen Creek, AZ 85142
Phone (480) 677-4800

13920 W Camino del Sol
Ste 8
Sun City West, AZ 85375
Phone (623) 544-6900

Interoperability endpoints

  • Direct secure messaging: omar.syed@cpns.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1902165046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320A W UNION HILLS DR STE 270",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320A W UNION HILLS DR STE 270",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082151",
            "telephone_number": "480-561-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "54263",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "54263",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "54263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.