Individual provider Active NPI

Omar Obaid, DO

  • Interventional Cardiology Physician
  • Portage, IN
National Provider Identifier
1902292915
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
02006784A Issued in IN
Practice address
6375 US Highway 6 Ste B
Portage, IN 46368-5218
Phone
(219) 762-0400
Fax
(219) 762-2460
NPI assigned
Apr 7, 2015
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036172005 IL
Interventional Cardiology Physician 207RI0011X 02006784A IN Primary

Addresses

Primary practice location

6375 US Highway 6 Ste B
Portage, IN 46368-5218

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3167

Other practice location 2

1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Phone (312) 942-5020

Other practice location 3

9200 Calumet Ave # E107
Munster, IN 46321-2885
Phone (219) 806-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220629003722 IN Practitioner - Interventional Cardiology 7315234507 Reassigns benefits to 3 organizations
I20241021004240 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315234507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 1159
Chicago, IL 60612-3883
Phone (312) 942-5020

9200 Calumet Ave
Suite E107
Munster, IN 46321-2885
Phone (219) 806-6585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006784AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Community Care Network Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585

6375 US Highway 6
Ste B
Portage, IN 46368
Phone (219) 762-0400

Interoperability endpoints

  • Direct secure messaging: oobaid722217@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1902292915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6 STE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685218",
            "telephone_number": "219-762-0400",
            "fax_number": "219-762-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-3167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 1159",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123883",
            "country_code": "US",
            "telephone_number": "312-942-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Calumet Ave # E107",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212885",
            "country_code": "US",
            "telephone_number": "219-806-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBAID",
        "first_name": "OMAR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036172005",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "02006784A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.