Omar Mohamed Mohamed, MD
Individual provider Active NPI Surgery of the Hand (Plastic Surgery) Physician · Plymouth, MA
NPI 1982109336 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1982109336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician 2082S0105X
- License
- 1024327 (MA)
- Practice address
- 36 Shops at 5 Way
Plymouth, MA 02360-2677 - Phone
- (617) 657-6445
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atrius Health Inc
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700
36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700
Hospital & facility affiliations
- Beth Israel Deaconess Hospital Plymouth
- Spaulding Rehabilitation Hospital - Cape Cod
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190805000231 | MN | Practitioner - Plastic and Reconstructive Surgery | 0042567018 | Reassigns benefits to 1 organization |
| I20250916003628 | MA | Practitioner - Hand Surgery | 0042567018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65993 | MN | MD | Plastic Surgery Physician |
| 1024327 | MA | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
36 Shops At 5 Way
Plymouth, MA 02360
Phone (617) 657-6445
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 65993 | MN | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 1024327 | MA | Yes |
Addresses
Primary practice location
36 Shops at 5 Way
Plymouth, MA 02360-2677
Mailing address
36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (617) 657-6445
Other providers in Plymouth, MA
- Justine Lee Mitchell
- Toni R Mitchell
- MJH Nutrition
- Nahid Modarres
- Thaddeus Ronald Mogilnicki
- Rachael Mohan
- Philip Joseph Molloy IV
- Luis Augusto Molmenti
- Elizabeth Anne Monaghan
- Lauren Monger
All providers in Plymouth, MA · Surgery of the Hand (Plastic Surgery) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.