OMRAN GDARA MD
NPI 1013658947
Emergency Medicine in Lakewood, CA
About Omran Gdara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMRAN GDARA MD (NPI 1013658947) is an individual emergency medicine provider in Lakewood, California, licensed in California (A189570) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Omran Gdara Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Omran Gdara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakewood, CA 90712
- Reassigned Medicare billing, California enrollment
- 1,204 clinicians in this Medicare group
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 169 clinicians in this Medicare group
Northridge, CA 91325
- Reassigned Medicare billing, California enrollment
- 137 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Omran Gdara's NPI number?
The NPI number for Omran Gdara is 1013658947. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Omran Gdara located?
Omran Gdara practices at 3700 South St, Lakewood, CA 90712. The listed phone number is (562) 272-6588.
What is Omran Gdara's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Omran Gdara enrolled in Medicare?
Yes. Omran Gdara 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.
Which organizations bill Medicare for Omran Gdara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omran Gdara reassigns Medicare benefits to 3 organizations: Cep America-California (Lakewood, CA), Golden State Emergency Physicians Inc (Los Angeles, CA) and Ridgeline Emergency Physicians Medical Group, Inc. (Northridge, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omran Gdara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Omran Gdara was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Omran Gdara, MD · NPI 1013658947
Emergency Medicine physician in Lakewood, California. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1013658947 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A189570 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3700 SOUTH ST, Lakewood, CA 90712-1419
- **Phone:** (562) 272-6588
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America-California (NPI 1073298451, Lakewood, CA); Golden State Emergency Physicians Inc (NPI 1770886558, Los Angeles, CA); Ridgeline Emergency Physicians Medical Group, Inc. (NPI 1972953230, Northridge, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2022
## Record status
- **NPPES last updated:** August 12, 2025
- **Other identifiers:** Medicaid 91082029G (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1013658947) · Data from the CMS NPPES public registry.