OMAR KOLONDA M.D.
NPI 1548476393
Emergency Medicine in Baltimore, MD

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITAL, BALTIMORE, MD 21218(401) 554-6686 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omar Kolonda M.d. NPPES

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

OMAR KOLONDA M.D. (NPI 1548476393) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Maryland (D0072291) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2006).

NPPES Registry Identity

NPI1548476393
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameOMAR KOLONDACredential: M.D.
Location Address201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITALBaltimore, MD 21218
Mailing Address201 East University Parkway, Union Memorial HospitalBaltimore, MD 21218
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2006
Enumeration DateMay 15, 2007
Last NPPES UpdateJanuary 30, 2014
✔ NPI 1548476393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MD · D0072291
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
201 EAST UNIVERSITY PARKWAY, Baltimore, MD 21218

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 Kolonda 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 ID1658405964
PECOS Enrollment IDI20140708000890
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 Reassignments

4

Medicare enrollment records show Omar Kolonda reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Emergency Medical Services
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Whc Physician Group LLC
  • 613 clinicians in this Medicare group
Psychiatry
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 861 clinicians in this Medicare group
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
160 services157 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services68 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.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Acute Care)
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Internal Medicine
201 EAST UNIVERSITY PARKWAY, DEPT OF MEDICINE
BALTIMORE, MD 21218
Radiology (Diagnostic Radiology)
201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITAL DEPT OF RADIOLOGY
BALTIMORE, MD 21218
Physical Medicine & Rehabilitation (Sports Medicine)
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Internal Medicine
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Hospitalist
201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITAL-DEPARTMENT OF MEDICINE
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Anesthesiology
201 EAST UNIVERSITY PARKWAY, 33RD STREET PROFESSIONAL BLDG, SUITE 226
BALTIMORE, MD 21218

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 Kolonda's NPI number?

The NPI number for Omar Kolonda is 1548476393. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Omar Kolonda located?

Omar Kolonda practices at 201 East University Parkway Union Memorial Hospital, Baltimore, MD 21218. The listed phone number is (401) 554-6686.

What is Omar Kolonda's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Omar Kolonda enrolled in Medicare?

Yes. Omar Kolonda 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 organizations bill Medicare for Omar Kolonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Kolonda reassigns Medicare benefits to 4 organizations: Medstar Medical Group II LLC (Baltimore, MD), Whc Emerg Phys (Washington, DC), Mgmc LLC (Washington, DC) and Emergency Medicine Associates P.A., P.C. (Falls Church, VA). Each 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 Kolonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Omar Kolonda was last updated on January 30, 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.