Individual provider Active NPI

Abas Hassan Omar

  • Physician Assistant
  • Greenville, NC
National Provider Identifier
1952059750
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001013210 Issued in NC
Practice address
315 Greenville Blvd SE Ste 100
Greenville, NC 27858-5733
Phone
(252) 917-5621
NPI assigned
Mar 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001013210 NC Primary

Addresses

Primary practice location

315 Greenville Blvd SE Ste 100
Greenville, NC 27858-5733

Mailing address

PO Box 749074
Atlanta, GA 30374-9074
Phone (919) 532-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220404001303 NY Practitioner - Physician Assistant 8820484611 Reassigns benefits to 1 organization
I20230602002192 NC Practitioner - Physician Assistant 8820484611 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2002 S Glenburnie Rd
Suite 100
New Bern, NC 28562-5229
Phone (252) 631-5188

220 Waterscape Way
New Bern, NC 28562-9831
Phone (252) 631-5301

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888

718 W Corbett Ave
Swansboro, NC 28584-8452
Phone (910) 326-5588

7901 Emerald Dr
Suite 7
Emerald Isle, NC 28594-2880
Phone (252) 354-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001013210NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Services, Inc CurrentSince Mar 14, 2022 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Mar 14, 2022 Accepting new patients
Fastmed Primary Care, P.C. PastSince Mar 12, 2024 Accepting new patients

Locations

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4225 Genesee St
Ste 400
Cheektowaga, NY 14225
Phone (716) 906-5905

Interoperability endpoints

  • Direct secure messaging: abas.omar.1@1905.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1952059750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749074",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749074",
            "telephone_number": "919-532-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GREENVILLE BLVD SE STE 100",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585733",
            "telephone_number": "252-917-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "ABAS",
        "middle_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001013210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.