OMAR MOHTADI MD
NPI 1205288701
Internal Medicine in Lafayette, IN

Q: What is Omar Mohtadi's NPI number?

The NPI number for Omar Mohtadi is 1205288701. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Q: What is Omar Mohtadi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Mohtadi was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment

2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000(765) 448-7605 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2021, May 21, 2019 (2 updates tracked since 2019).

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About Omar Mohtadi Md NPPES

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

OMAR MOHTADI MD (NPI 1205288701) is an individual internal medicine provider in Lafayette, Indiana, licensed in Indiana (01081879A) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains a secondary practice location in West Lafayette.

NPPES Registry Identity

NPI1205288701

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOMAR MOHTADICredential: MD

Location Address2600 GREENBUSH STLafayette, IN 47904-2477

Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621

Phone(765) 448-8000

Fax(765) 448-7605

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 7, 2016

Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1205288701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01081879A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2600 GREENBUSH ST, Lafayette, IN 47904

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Secondary Practice Location 1

Location 1253 Sagamore Pkwy WWest Lafayette, IN 47906-1501 · Phone (765) 448-8000 · Fax (765) 448-7605

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 Mohtadi 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 ID8820386295

PECOS Enrollment IDI20190528000906

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.

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151312

Location720 South Sixth StMonticello, IN 47960 · White County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers67 claims169 services$5.36 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers18 claims20 services$0.90 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers15 claims15 services$37.14 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers14 claims14 services$52.26 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers11 claims11 services$16.63 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers13 claims70 services$2.10 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.

MICHELLE B HERBERTS MD

Internal Medicine (Critical Care Medicine)