OMAR SAID NEHME MD
NPI 1225013972
Internal Medicine - Gastroenterology in Chicago, IL

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST STE 207, CHICAGO, IL 60612(312) 942-5861(260) 918-2137 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Apr 1, 2021, Mar 17, 2021 and 1 more (4 updates tracked since 2020).

About Omar Said Nehme Md NPPES

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

OMAR SAID NEHME MD (NPI 1225013972) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036164947) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225013972
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameOMAR SAID NEHMECredential: MD
Location Address1725 W HARRISON ST STE 207Chicago, IL 60612-3988
Mailing Address1725 W Harrison St Ste 207Chicago, IL 60612-3988 · (312) 942-5861 · Fax (260) 918-2137
Fax(260) 918-2137
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1225013972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in IL · 036164947 Licensed in IN · 01049531A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01049531A (IN)
1725 W HARRISON ST STE 207, Chicago, IL 60612

Secondary Practice Locations 2

Location 18895 BroadwayMerrillville, IN 46410-7037 · Phone (219) 738-2081 · Fax (219) 736-4658
Location 21205 S Main St Ste 201Crown Point, IN 46307-3677 · Phone (219) 769-8340 · Fax (219) 769-8341

Other Identifiers 5

Other9115389IL · Anthem Bc/bs
OtherP00325762IN · Railroad Medicare
Other000000381391IN · Anthem Bc/bs
Other01049531AIN · State License
Other01049531BIN · Csr

Accepted 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 Said Nehme 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 ID6608865571
PECOS Enrollment IDI20040507000319, I20230822002751
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 11

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
92 services92 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
63 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 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.
37 services31 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
35 services35 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.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 12

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

Psychologist (Clinical)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Nurse Practitioner (Family)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Physician Assistant
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612
Nurse Practitioner (Primary Care)
1725 W HARRISON ST STE 207
CHICAGO, IL 60612

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 Nehme's NPI number?

The NPI number for Omar Nehme is 1225013972. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Omar Nehme located?

Omar Nehme practices at 1725 W Harrison St Ste 207, Chicago, IL 60612. The listed phone number is (312) 942-5861.

What is Omar Nehme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Omar Nehme enrolled in Medicare?

Yes. Omar Nehme 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 Nehme accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and CareSource list Omar Nehme 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 Nehme affiliated with any hospitals?

According to CMS data, Omar Nehme is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Nehme was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.