Active NPI
Omkar Hemant Dave, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Jackson, MS
National Provider Identifier
1992949770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 23122
- Practice address
- 1325 E Fortification St
Jackson, MS 39202-2442 - Phone
- (601) 949-9106
- Fax
- (601) 914-1835
- NPI assigned
- Apr 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0034792 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 23122 | MS | Primary |
Addresses
Primary practice location
1325 E Fortification St
Jackson, MS 39202-2442
Mailing address
1325 E Fortification St
Jackson, MS 39202-2442
Phone (601) 949-9106
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at Houston, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11555 Magnolia Pkwy
Suite 140
Pearland, TX 77584-2151
Phone (281) 724-8241
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Memorial Hermann Houston Physicians Hospital
- HCA Houston Healthcare Pearland
- HCA Houston Healthcare Southeast
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.56 of 100
- Quality
- 62.83
- Promoting interoperability
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 16 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 20 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034792 | TX | MD | Orthopaedic Surgery Physician |
| 23122 | MS | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omkar Dave MD PLLC | Current | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
4427 Crenshaw Rd
Ste 120
Pasadena, TX 77504
Phone (281) 724-8241
11555 Magnolia Pkwy
Ste 140
Pearland, TX 77584
Phone (281) 724-8241
15015 Kirby Dr
Ste 200B
Pearland, TX 77047
Phone (281) 724-8241
Interoperability endpoints
- omkar.dave.1@14436.direct.athenahealth.com
- odave33213@memorialhermann.direct-ci.com
- https://api.platform.athenahealth.com/14436/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Clinic/Center
- Houston, TX
- NPI 1134598345
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
-
- General Acute Care Hospital
- Pearland, TX
- NPI 1609275585
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Webster, TX
- NPI 1285699835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1992949770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E FORTIFICATION ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022442",
"telephone_number": "601-949-9106",
"fax_number": "601-914-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E FORTIFICATION ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022442",
"telephone_number": "601-949-9106",
"fax_number": "601-914-1835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "OMKAR",
"middle_name": "HEMANT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-24",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "0034792",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MS",
"license": "23122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.