Active NPI
Omar Elahi
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1972898450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11015906A
- Practice address
- 1520 N Senate Ave
Indianapolis, IN 46202-2213 - Phone
- (317) 962-8893
- Fax
- (317) 962-6722
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11015906A | IN | Primary |
Addresses
Primary practice location
1520 N Senate Ave
Indianapolis, IN 46202-2213
Mailing address
1520 N Senate Ave
Indianapolis, IN 46202-2213
Phone (317) 962-8893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015906A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1972898450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 N SENATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022213",
"telephone_number": "317-962-8893",
"fax_number": "317-962-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 N SENATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022213",
"telephone_number": "317-962-8893",
"fax_number": "317-962-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAHI",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11015906A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.