Ommar T Hla, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036091671 Issued in IL

Practice address

1600 W US Route 6
Morris, IL 60450

Phone

(815) 364-8915

Fax

(815) 941-0743

NPI assigned

Jul 13, 2006

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 12

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Radiation Oncology

Education

Rush Medical College of Rush University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ohla@jolietoncology.direct.varian.com
• Direct secure messaging: ohla1766315@oc.providencedirect.org
• Direct secure messaging: ohla588561@hisp.ehr.sutterhealth.org

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  Medicare reassignment Care Compare group NPD (past)
• Providence Medical Foundation

  • Urology Physician
  • Apple Valley, CA
  • NPI 1053616706
  NPD
• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1639715709
  NPD
• Gottlieb Community Health Services Corporation

  • Psychiatric Hospital Unit
  • Berwyn, IL
  • NPI 1700864352
  NPD (past)
• Midwest Radiation Oncology Consultants LTD

  • Radiation Oncology Physician
  • Elgin, IL
  • NPI 1033134606
  NPD (past)
• Northern Illinois University

  dba Northern Illinois University Institute for Neutron Therapy at Fermilab

  • Radiation Oncology Clinic/Center
  • Batavia, IL
  • NPI 1144327487
  NPD (past)
• Presence Central and Suburban Hospitals Network

  dba Presence Saint Joseph Medical Center-Rehab Unit

  • Rehabilitation Hospital Unit
  • Joliet, IL
  • NPI 1124189733
  NPD (past)
• Ludag LLC

  • Radiation Oncology Physician
  • Merrillville, IN
  • NPI 1336195353
  NPD (past)
• Ludag LLC

  • Radiation Oncology Physician
  • Gary, IN
  • NPI 1871685461
  NPD (past)
• Redwood Regional Medical Group Inc

  • Hematology & Oncology Physician
  • Santa Rosa, CA
  • NPI 1275556607

  Radiation Oncology

  NPD (past)
• SRM Alliance Hospital Services

  dba Petaluma Valley Hospital

  • Skilled Nursing Facility
  • Petaluma, CA
  • NPI 1770703886
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1942225511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "815-364-8915",
            "fax_number": "815-941-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Salt Creek Ln",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605212926",
            "country_code": "US",
            "telephone_number": "630-734-9560",
            "fax_number": "630-734-9565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Salt Creek Ln",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605212926",
            "country_code": "US",
            "telephone_number": "630-734-9560",
            "fax_number": "630-734-9565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Round Barn Cir",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031757",
            "country_code": "US",
            "telephone_number": "707-528-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HLA",
        "first_name": "OMMAR",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G158948",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036091671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUDAG-JOLIET",
            "identifier": "214143",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUDAG-KANKAKEE",
            "identifier": "214152",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHA BCBS",
            "identifier": "09919437",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIV ID# FOR GROUP 336140",
            "identifier": "K48414",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  JOLIET",
            "identifier": "K31484",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-COOK NOMC",
            "identifier": "209405012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8232230",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00348399",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-WILL NOSC",
            "identifier": "749640013",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091671 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503203",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-KANKAKEE",
            "identifier": "K33087",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohla1766315@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "400 N McDowell Blvd",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949542339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohla1766315@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "110 Lynch Creek Way Ste A",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949542337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohla1766315@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1165 S Dora St Bldg H",
            "city": "Ukiah",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954828325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohla1766315@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3555 Round Barn Cir",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954031757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hadi Hedayati, M.D.
• Ricki Heinzeroth
• Kyla Renee Henderson
• Mark Michael Henry, PHARMD
• Eugene Hickey, CRNA
• Lianne Holloway, MD
• Home Healthcare Renewal Services, Inc (Absolute Home Health, LTD)
• Home Physician Care LLC
• Bernadine D Howard, LCSW
• Holly Corsello Howard, PT

• Radiation Oncology Physician in Morris, IL
• Providers in Morris, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.