Individual provider Active NPI

Omar Kamaleddin Ben Amer, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1942639877
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD464903 Issued in PA
Practice address
111 S 11TH St Ste 8490
Philadelphia, PA 19107-4824
Phone
(215) 955-6161
Fax
(215) 923-5507
NPI assigned
Nov 1, 2013
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD464903 PA Primary
Surgery Physician 208600000X 256857 MA

Addresses

Primary practice location

111 S 11TH St Ste 8490
Philadelphia, PA 19107-4824

Mailing address

111 S 11TH St Ste 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190501000028 PA Practitioner - Anesthesiology 3678824547 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (610) 526-3000

2701 Dekalb Pike
2ND
East Norriton, PA 19401-1820
Phone (610) 275-1028

559 W Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256857MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
United Anesthesia Services PC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc Anesthesiology CurrentSince Aug 25, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince May 24, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince May 24, 2025 Accepting new patients
Suburban Medical Group LLC Anesthesiology CurrentSince Dec 14, 2022 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Xenon Anesthesia of Pennsylvania PLLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Aug 25, 2024 Accepting new patients

Locations

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

1515 Market St
Ste 1200
Philadelphia, PA 19102
Phone (215) 259-8078

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 10

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 4

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1942639877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST STE 8490",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST STE 8490",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN AMER",
        "first_name": "OMAR",
        "middle_name": "KAMALEDDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD464903",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "256857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.