Individual provider Active NPI

Omar Homsi, M.D.

  • Specialist
  • Killeen, TX
National Provider Identifier
1912945551
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3752 Issued in TX
Practice address
4102 S Clear Creek Rd
Ste 107
Killeen, TX 76549-5953
Phone
(254) 526-8300
Fax
(254) 526-4828
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K3752 TX Primary

Addresses

Primary practice location

4102 S Clear Creek Rd
Ste 107
Killeen, TX 76549-5953

Mailing address

4102 S Clear Creek Rd
Ste 107
Killeen, TX 76549-5953
Phone (254) 526-8300

Other identifiers 1

IdentifierTypeStateIssuer
092467201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3752TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Killeen Pediatric Care Clinic, P.a. Specialist Past Accepting new patients
Metroplex Adventist Hospital Inc Past Accepting new patients

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1912945551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD",
            "address_2": "STE 107",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495953",
            "telephone_number": "254-526-8300",
            "fax_number": "254-526-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD",
            "address_2": "STE 107",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495953",
            "telephone_number": "254-526-8300",
            "fax_number": "254-526-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMSI",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092467201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.