Physician Compare National (NPI:1821227471)

HEALTHCARE PROVIDER: FAHAD OMAR MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821227471
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476708397
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170224001349
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OMAR
	Individual professional last name
Provider First Name	FAHAD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	SLEEP MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	FAHAD OMAR MD PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6305120031
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2000 B TRANS MOUNTAIN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 270
	Group Practice or individual's line 2 address
City	EL PASO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	799113600
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9152130900
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAS PALMAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670120
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450668
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THE HOSPITALS OF PROVIDENCE - SIERRA CAMPUS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	320018
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y