DR. OMAR KANDAH D.O.
NPI 1205416054
Internal Medicine in Indianapolis, IN

Q: What is Omar Kandah's NPI number?

The NPI number for Omar Kandah is 1205416054. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Q: What is Omar Kandah'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 Kandah was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2021PECOS Enrolled

8333 NAAB RD STE 250, INDIANAPOLIS, IN 46260(317) 338-5100 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2024, Jul 11, 2024, May 10, 2024 and 1 more (4 updates tracked since 2021).

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About Dr. Omar Kandah D.o. NPPES

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

DR. OMAR KANDAH D.O. (NPI 1205416054) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (02007827A) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1205416054

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. OMAR KANDAHCredential: D.O.

Location Address8333 NAAB RD STE 250Indianapolis, IN 46260-1983

Mailing Address8333 Naab Rd Ste 250Indianapolis, IN 46260-1983

Phone(317) 338-5100

Sole ProprietorNo

Enumeration DateApril 14, 2021

Last NPPES UpdateAugust 15, 20244 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1205416054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 02007827A

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.

8333 NAAB RD STE 250, Indianapolis, IN 46260

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Secondary Practice Location 1

Location 1Grand Strand Medical Center- GME Office, 809 82nd ParkwayMyrtle Beach, SC 29572 · Phone (843) 692-1118 · Fax (843) 692-1122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Kandah D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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.

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.

EDWARD PAUL MINTZ MD

Internal Medicine (Critical Care Medicine)