OMAR ALI MD
NPI 1376126565
Ophthalmology in Spring, TX

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
5211 FM 2920 RD STE 102, SPRING, TX 77388(281) 444-1677 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omar Ali Md NPPES

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

OMAR ALI MD (NPI 1376126565) is an individual ophthalmology provider in Spring, Texas, licensed in Texas (V7802) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2021).

NPPES Registry Identity

NPI1376126565
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameOMAR ALICredential: MD
Location Address5211 FM 2920 RD STE 102Spring, TX 77388-3004
Mailing Address2855 Gramercy St Ste 400Houston, TX 77025-1756
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2021
Enumeration DateMay 4, 2021
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1376126565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · V7802
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5211 FM 2920 RD STE 102, Spring, TX 77388

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Ali 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 ID648677518
PECOS Enrollment IDI20250715000423
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.

Medicare Billing Reassignment

Medicare enrollment records show Omar Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
2855 GRAMERCY ST
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77388 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
5211 FM 2920 RD STE 102
SPRING, TX 77388
Ophthalmology
5211 FM 2920 RD STE 102
SPRING, TX 77388
Ophthalmology
5211 FM 2920 RD STE 102
SPRING, TX 77388

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 Ali's NPI number?

The NPI number for Omar Ali is 1376126565. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Omar Ali located?

Omar Ali practices at 5211 Fm 2920 Rd Ste 102, Spring, TX 77388. The listed phone number is (281) 444-1677.

What is Omar Ali's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Omar Ali enrolled in Medicare?

Yes. Omar Ali 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.

Which organization bills Medicare for Omar Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Ali reassigns Medicare benefits to Hea Clinic PA (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omar Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Ali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Omar Ali 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.

When was this NPI record last updated?

The NPPES record for Omar Ali was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.