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DR. OMAR KHAN JILANI MD
NPI 1528301397
Internal Medicine - Gastroenterology in Houston, TX

Active since March 31, 2013PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
10425 HUFFMEISTER RD STE 310, HOUSTON, TX 77065(346) 299-3354(866) 531-7636 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Dec 19, 2024, Dec 5, 2024 and 2 more (5 updates tracked since 2016).

About Dr. Omar Khan Jilani Md NPPES

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

DR. OMAR KHAN JILANI MD (NPI 1528301397) is an individual gastroenterology provider in Houston, Texas, licensed in Pennsylvania (MD487073C) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1528301397
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. OMAR KHAN JILANICredential: MD
Location Address10425 HUFFMEISTER RD STE 310Houston, TX 77065-3429
Mailing Address10425 Huffmeister Rd Ste 310Houston, TX 77065-3429 · (346) 299-3354 · Fax (866) 531-7636
Phone(346) 299-3354
Fax(866) 531-7636
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 31, 2013
Last NPPES UpdateMay 28, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1528301397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in PA · MD487073C✔ Licensed in CO · CDR.0004551✔ Licensed in TX · S5938
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 CDR.0004551 (CO)
Also ListedHospitalistTaxonomy 208M00000X · License 036140948 (IL)
10425 HUFFMEISTER RD STE 310, Houston, TX 77065
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Omar Jilani Md, Mba

Secondary Practice Locations 4

Location 1835 5th AveChambersburg, PA 17201-4220 · Phone (717) 263-0629 · Fax (717) 263-7105
Location 210425 Huffmeister Rd Ste 310Houston, TX 77065-3429 · Phone (346) 299-3354 · Fax (866) 531-7636
Location 31010 Three Springs Blvd Ste 270Durango, CO 81301-8296 · Phone (970) 764-3800 · Fax (970) 764-3840
Location 45841 S Maryland AveChicago, IL 60637-1447 · Phone (773) 702-1150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Omar Khan Jilani 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 ID9032407622
PECOS Enrollment IDI20200729001485, I20241211000237, I20250218001325, I20260508001994
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 9

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.
45 services28 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.
33 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
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.
21 services20 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.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77065 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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

NORTHSIDE GASTROENTEROLOGY ASSOCIATES PA
Specialist
10425 HUFFMEISTER RD STE 310
HOUSTON, TX 77065
Harris County (281) 477-9305
AYUB HUSSAIN M.D.
Internal Medicine (Gastroenterology)
10425 HUFFMEISTER RD STE 310
HOUSTON, TX 77065
Harris County (281) 477-9305
DR. SHAZA KHAN DO
Family Medicine
10425 HUFFMEISTER RD STE 310
HOUSTON, TX 77065
Harris County (346) 299-3354
CORE MEDICAL PHYSICIANS
Internal Medicine (Gastroenterology)
10425 HUFFMEISTER RD STE 310
HOUSTON, TX 77065
Harris County (346) 299-3354

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 Jilani's NPI number?

The NPI number for Omar Jilani is 1528301397. It was assigned to this individual provider in the NPPES registry on March 31, 2013. The provider is also known as Dr. Omar Jilani MD, Mba.

Where is Omar Jilani located?

Omar Jilani practices at 10425 Huffmeister Rd Ste 310, Houston, TX 77065. The listed phone number is (346) 299-3354.

What is Omar Jilani's specialty?

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

Is Omar Jilani enrolled in Medicare?

Yes. Omar Jilani 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 Jilani 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 5 other insurers list Omar Jilani 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 Jilani affiliated with any hospitals?

According to CMS data, Omar Jilani is affiliated with Wellspan Chambersburg Hospital, Hca Houston Healthcare West, Texas Health Huguley Hospital Fort Worth South, Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Omar Jilani was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.