NPIMap

Individual provider Active NPI

Omer Hassan Musa Ismail, MD

  • Surgery Physician
  • Des Moines, IA
National Provider Identifier
1962767491
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-45546 Issued in IA
Practice address
411 Laurel St Ste 3250
Des Moines, IA 50314-3026
Phone
(515) 643-6400
Fax
(515) 643-5816
NPI assigned
Jul 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X MD-45546 IA
Surgical Critical Care Physician 2086S0102X MD-45546 IA
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X MD-45546 IA Primary

Addresses

Primary practice location

411 Laurel St Ste 3250
Des Moines, IA 50314-3026

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-6400

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 247-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909003065 IA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4789932948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

411 Laurel St
Des Moines, IA 50314-3027

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355
  • Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089
  • Dallas County Hospital Hospital, Perry, IA, CCN 161322
  • Van Diest Medical Center Hospital, Webster City, IA, CCN 161361

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-45546IAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Aug 26, 2019 Accepting new patients
Mercy Clinics, Inc Surgery CurrentSince Aug 26, 2019 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

411 Laurel St
Ste 3250
Des Moines, IA 50314
Phone (515) 643-6400

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

Interoperability endpoints

  • Direct secure messaging: oismail3948045@direct.trinity-health.org

Organizations & group practices 4

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 10

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1962767491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-6400",
            "fax_number": "515-643-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 3250",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-643-6400",
            "fax_number": "515-643-5816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-3057",
            "fax_number": "515-643-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "OMER",
        "middle_name": "HASSAN MUSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "IA",
            "license": "MD-45546",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IA",
            "license": "MD-45546",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-45546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.