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DR. SHADI OMIDI M.D.
NPI 1366454548
Obstetrics & Gynecology in San Diego, CA

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
10243 GENETIC CENTER DRIVE, SAN DIEGO, CA 92121(858) 526-2702(858) 526-6113 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shadi Omidi M.d. NPPES

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

DR. SHADI OMIDI M.D. (NPI 1366454548) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (A61775) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1366454548
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHADI OMIDICredential: M.D.
Location Address10243 GENETIC CENTER DRIVESan Diego, CA 92121-6310
Mailing Address2600 Via De La Valle, Ste 200Del Mar, CA 92014-1992 · (858) 499-2702 · Fax (858) 309-3119
Phone(858) 526-2702
Fax(858) 526-6113
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 13, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1366454548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A61775
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10243 GENETIC CENTER DRIVE, San Diego, CA 92121
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Other Identifiers 2

Medicare UPING99545CA
Medicare ID-Type UnspecifiedWA61775BCA

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

Dr. Shadi Omidi 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 ID8022022706
PECOS Enrollment IDI20060201000873
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 92121 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 4

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

ELLEN DORSEY RN
Registered Nurse
10243 GENETIC CENTER DRIVE
SAN DIEGO, CA 92121
San Diego County (858) 526-6019
DR. MARY M PIKUS M.D.
Internal Medicine
10243 GENETIC CENTER DRIVE
SAN DIEGO, CA 92121
San Diego County (858) 499-2600
DR. JIN LEE MD
Dermatology
10243 GENETIC CENTER DRIVE
SAN DIEGO, CA 92121
San Diego County (858) 526-6175
DR. DOUG TAN NGUYEN M.D.
Family Medicine
10243 GENETIC CENTER DRIVE
SAN DIEGO, CA 92121
San Diego County (858) 499-2600

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 Shadi Omidi's NPI number?

The NPI number for Shadi Omidi is 1366454548. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Shadi Omidi located?

Shadi Omidi practices at 10243 Genetic Center Drive, San Diego, CA 92121. The listed phone number is (858) 526-2702.

What is Shadi Omidi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shadi Omidi enrolled in Medicare?

Yes. Shadi Omidi 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.

When was this NPI record last updated?

The NPPES record for Shadi Omidi was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.