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OMAR AL DHAYBI M.D.
NPI 1013271535
Internal Medicine - Nephrology in New York, NY

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment
1190 5TH AVE, NEW YORK, NY 10029(212) 427-1540(212) 251-9114 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2025, Sep 11, 2024, Dec 14, 2022 and 2 more (5 updates tracked since 2018).

About Omar Al Dhaybi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAR AL DHAYBI M.D. (NPI 1013271535) is an individual nephrology provider in New York, New York, licensed in New York (328469) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1013271535
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameOMAR AL DHAYBICredential: M.D.
Location Address1190 5TH AVENew York, NY 10029-6503
Mailing Address1 Gustave L Levy Pl # 1118New York, NY 10029-6504
Phone(212) 427-1540
Fax(212) 251-9114
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 28, 2012
Last NPPES UpdateFebruary 14, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1013271535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 328469
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 328469 (NY)
1190 5TH AVE, New York, NY 10029
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 427-1540 · Fax (212) 410-7196

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Al Dhaybi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345542932
PECOS Enrollment IDI20240925001689
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
285 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
183 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services97 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
122 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services53 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILENE SCHULMAN ANPC
Nurse Practitioner (Adult Health)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-5520
DR. NIMESH NAGARSHETH M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
1190 5TH AVE, RUTTENBERG TREATMENT CENTER 1ST FLOOR
NEW YORK, NY 10029
New York County (212) 427-9898
PHILIP A FRIEDLANDER M.D.
Internal Medicine (Medical Oncology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6756
DOUGLAS SMEGO MD
Surgery
1190 5TH AVE, BOX 1028
NEW YORK, NY 10029
New York County (212) 659-6800
MONICA PRASAD HAYES M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
1190 5TH AVE, BOX 1173
NEW YORK, NY 10029
New York County (212) 241-1111
EILEEN SCIGLIANO MD
Internal Medicine (Hematology & Oncology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6756
JOSHUA BRODY M.D.
Internal Medicine (Medical Oncology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6756
DR. JACOB S KORUTH M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Al Dhaybi's NPI number?

The NPI number for Omar Al Dhaybi is 1013271535. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Omar Al Dhaybi located?

Omar Al Dhaybi practices at 1190 5th Ave, New York, NY 10029. The listed phone number is (212) 427-1540.

What is Omar Al Dhaybi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Omar Al Dhaybi enrolled in Medicare?

Yes. Omar Al Dhaybi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Omar Al Dhaybi affiliated with any hospitals?

According to CMS data, Omar Al Dhaybi is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Omar Al Dhaybi was last updated on February 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.