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OMAR ZMEILI MD
NPI 1083812101
Internal Medicine - Endocrinology, Diabetes & Metabolism in Akron, OH

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
75 ARCH ST, 301, AKRON, OH 44304(330) 253-1899(330) 253-2108 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Omar Zmeili Md NPPES

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

OMAR ZMEILI MD (NPI 1083812101) is an individual endocrinology, diabetes & metabolism provider in Akron, Ohio, licensed in Ohio (35120469) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083812101
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameOMAR ZMEILICredential: MD
Location Address75 ARCH ST, 301Akron, OH 44304-1429
Mailing Address168 E Market St, Po Box 3542Akron, OH 44308-2038 · (330) 996-0347 · Fax (330) 996-0359
Phone(330) 253-1899
Fax(330) 253-2108
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 10, 2007
Last NPPES UpdateJuly 23, 2013
✔ NPI 1083812101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 35120469
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

75 ARCH ST, Akron, OH 44304
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Zmeili 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.

PECOS PAC ID3971744939
PECOS Enrollment IDI20130802000536
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 8

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.
93 services42 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.
88 services81 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
58 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services41 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
41 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services16 patients

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
6%127 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
18%123 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
36%127 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%171 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
38%64 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers18 claims217 services$18.48 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers14 claims454 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$171.43 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers52 claims222 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers21 claims43 services$1.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$306.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIC A ESPINAL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
75 ARCH ST, SUITE 407
AKRON, OH 44304
Summit County (330) 384-9001
ROBERT DANIEL CEVASCO JR. M.D.
Family Medicine (Hospice and Palliative Medicine)
75 ARCH ST, STE G2
AKRON, OH 44304
Summit County (330) 375-4100
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES OF AKRON INC
Obstetrics & Gynecology
75 ARCH ST, STE 401
AKRON, OH 44304
Summit County (330) 535-2689
CARDIOTHORACIC CONSULTANTS LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
75 ARCH ST, SUITE 407
AKRON, OH 44304
Summit County (330) 384-9001
ALLISON M HESSE CNP
Nurse Practitioner (Adult Health)
75 ARCH ST, STE G2
AKRON, OH 44304
Summit County (330) 375-4100
PAUL TERRY TSIVITSE MD
Internal Medicine (Pulmonary Disease)
75 ARCH ST, SUITE 206
AKRON, OH 44304
Summit County (330) 535-1510
DR. JAMES K SALEM M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
75 ARCH ST, SUITE 301
AKRON, OH 44304
Summit County (330) 434-9121
STACIE D SCHREINER C.N.P.
Nurse Practitioner
75 ARCH ST, SUITE G2
AKRON, OH 44304
Summit County (330) 375-4100

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 Zmeili's NPI number?

The NPI number for Omar Zmeili is 1083812101. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Omar Zmeili located?

Omar Zmeili practices at 75 Arch St 301, Akron, OH 44304. The listed phone number is (330) 253-1899.

What is Omar Zmeili's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Omar Zmeili enrolled in Medicare?

Yes. Omar Zmeili 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.

What insurance does Omar Zmeili accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and SummaCare and 1 other insurer list Omar Zmeili as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Omar Zmeili affiliated with any hospitals?

According to CMS data, Omar Zmeili is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Omar Zmeili was last updated on July 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.