Omar Idlibi, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

9300397 Issued in NC

Practice address

1815 Back Creek Dr
Charlotte, NC 28213-2159

Phone

(704) 598-8818

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Specialty

Pathology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.62 of 100Reported as group

Quality

63.47

Promoting interoperability

93

Improvement activities

40

Cost

87.12

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physicians Footcare, LLC

  • Foot & Ankle Surgery Podiatrist
  • Columbia, SC
  • NPI 1194909556

  Anatomic Pathology

  Medicare reassignment Care Compare group NPD
• Carolina Medical Lab Group Inc.

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1992700124

  Clinical Pathology

  Medicare reassignment NPD
• Southeast Pathology Consultants, Inc.

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1720546468

  Clinical Pathology

  NPD Authorized official
• Florida Medical Lab

  • Clinical Medical Laboratory
  • Panama City, FL
  • NPI 1144001074
  NPD Authorized official

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1962407189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 BACK CREEK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BACK CREEK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132159",
            "telephone_number": "704-598-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDLIBI",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "NC",
            "license": "9300397",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NC",
            "license": "9300397",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "9300397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ichep of Charlotte, LLC
• Id Consultants PA
• Id Consultants PA
• Ideal Home Healthcare Services, LLC
• Rebecca Katherine Iden, PT
• Jennifer D Idoni, OD, FAAO, FCOVD
• Jamaine Ifedi
• Victoria Ukamaka Ifedi
• Darlene C Ifill Taylor, MD
• Andrea M Igel, MD

• Anatomic Pathology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Anatomic Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.