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MUHAMMAD OMAR M.D
NPI 1225438849
Hospitalist in Toledo, OH

Active since September 02, 2014PECOS EnrolledAccepts Medicare Assignment
3000 ARLINGTON AVE, TOLEDO, OH 43614(419) 383-3811(419) 383-2918 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Dec 6, 2024, Aug 3, 2020 and 2 more (5 updates tracked since 2017).

About Muhammad Omar M.d NPPES

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

MUHAMMAD OMAR M.D (NPI 1225438849) is an individual hospitalist provider in Toledo, Ohio, licensed in Ohio (35.142693) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1225438849
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMUHAMMAD OMARCredential: M.D
Location Address3000 ARLINGTON AVEToledo, OH 43614-2595
Mailing Address3000 Arlington Ave # Ms 1180Toledo, OH 43614-2595 · (419) 383-3811 · Fax (419) 383-2918
Phone(419) 383-3811
Fax(419) 383-2918
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 2, 2014
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1225438849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in OH · 35.142693✔ Licensed in SD · 10532
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.142693 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License CDR.0004592 (CO)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 15664 (SD)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 36997 (OK)
3000 ARLINGTON AVE, Toledo, OH 43614
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Stanton L Young Blvd Ste 8400Oklahoma City, OK 73104-5018 · Phone (405) 271-6173

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

Muhammad Omar M.d 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 ID4981926441
PECOS Enrollment IDI20171012003481, I20240326000690, I20250516001849
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 5

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.
107 services50 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services12 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.
26 services21 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.
24 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD
OwnershipGovernment - Local
CMS Certification Number431316
Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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.

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.

DR. SEAN O. MCKEE PHARMD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE, GRADUATE MEDICAL EDUCATION MS 1050
TOLEDO, OH 43614
Lucas County (419) 383-4244
DR. SIYUN ZHANG PHARMD
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
TAMARA AVEZBADALOV MD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3752
DR. MARTIN JOSEPH OHLINGER PHARMD
Pharmacist
3000 ARLINGTON AVE, UT MEDICAL CENTER
TOLEDO, OH 43614
Lucas County (419) 383-3898
DR. BURTON LEE ROGERS JR. ED.D, MBA, ATC, LPTA
Specialist/Technologist (Athletic Trainer)
3000 ARLINGTON AVE, MORSE CENTER DOWLING HALL
TOLEDO, OH 43614
Lucas County (419) 383-4000
JEANETTE WOODRUFF R.PH.
Pharmacist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
DR. BRIAN ALLAN CUSTER D.M.D.
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3504
MRS. JULIE ANN ST JEAN PA-C
Physician Assistant
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3888

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 Muhammad Omar's NPI number?

The NPI number for Muhammad Omar is 1225438849. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Where is Muhammad Omar located?

Muhammad Omar practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-3811.

What is Muhammad Omar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Muhammad Omar enrolled in Medicare?

Yes. Muhammad Omar 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 Muhammad Omar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Avera Health Plans and Blue Cross and Blue Shield of Texas and 4 other insurers list Muhammad Omar 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 Muhammad Omar affiliated with any hospitals?

According to CMS data, Muhammad Omar is affiliated with Avera St Lukes, Community Memorial Hospital, Christus Mother Frances Hospital and Christus Mother Frances Hospital Sulphur Springs.

When was this NPI record last updated?

The NPPES record for Muhammad Omar was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.