Individual provider Active NPI

Omar F Selod, DO

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1962471607
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K9414 Issued in TX
Practice address
5632 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109
Phone
(817) 336-7188
Fax
(844) 231-8865
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X K9414 TX Primary

Addresses

Primary practice location

5632 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109

Mailing address

P O Box 678615
Dallas, TX 75267-8615
Phone (817) 336-7188

Other identifiers 2

IdentifierTypeStateIssuer
145433201MedicaidTX
00154QOtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081210000302 TX Practitioner - Physical Medicine and Rehabilitation 4880755727 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5632 Edwards Ranch Rd
Suite 100
Ft Worth, TX 76109-4138
Phone (817) 336-7188

Hospital & facility affiliations

  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual
Quality
65
Promoting interoperability
100
Improvement activities
40
Cost
51.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omar F Selod DO PA Physical Medicine & Rehabilitation CurrentSince Dec 7, 2008 Accepting new patients
PM&R Fort Worth Clearfork PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2025 Accepting new patients
PM&R Fort Worth Central PLLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2017 Accepting new patients
Strategic Medical Group TX PLLC CurrentSince Apr 15, 2023 Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients

Locations

5632 Edwards Ranch Rd
Ste 102
Fort Worth, TX 76109
Phone (817) 336-7188

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

800 8th Ave
Ste 506
Ft Worth, TX 76104
Phone (817) 336-7188

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

5632 Edwards Ranch Rd
Ste 100
Ft Worth, TX 76109
Phone (817) 336-7188

Organizations & group practices 12

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 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1962471607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 678615",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678615",
            "telephone_number": "817-336-7188",
            "fax_number": "817-335-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 EDWARDS RANCH RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-336-7188",
            "fax_number": "844-231-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELOD",
        "first_name": "OMAR",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K9414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145433201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00154Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.