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OMAR MAMLOUK M.D
NPI 1629489703
Internal Medicine - Nephrology in Houston, TX

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 563-7100 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2020, Mar 24, 2017 (2 updates tracked since 2017).

About Omar Mamlouk M.d NPPES

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

OMAR MAMLOUK M.D (NPI 1629489703) is an individual nephrology provider in Houston, Texas, licensed in Texas (S1174) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629489703
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameOMAR MAMLOUKCredential: M.D
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing Address1400 Pressler St # 13.6082Houston, TX 77030-3722
Phone(713) 563-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 12, 2014
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1629489703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · S1174
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1515 HOLCOMBE BLVD, Houston, TX 77030
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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

Omar Mamlouk 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 ID9931510815
PECOS Enrollment IDI20201125000416
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 10

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
532 services185 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.
148 services140 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
97 services41 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
45 services19 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.
40 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES 19

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

DR. JADE SCHIFFMAN M.D.
Ophthalmology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2121
MARINA GEORGE MD
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. JENNIE L REXER PHD
Clinical Neuropsychologist
1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431
HOUSTON, TX 77030
Harris County (713) 754-5051
JANEY DELORES HOPKINS CRNA
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 606-3293
DR. LINUS HO M.D., PH.D.
Internal Medicine (Hematology & Oncology)
1515 HOLCOMBE BLVD, UNIT 426
HOUSTON, TX 77030
Harris County (713) 792-2828
DR. JEAN HANNA TAYAR MD
Internal Medicine (Rheumatology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
NORMAN JOSE BRITO-DELLAN MD
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JOHN W. DAVIS M.D.
Urology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

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 Mamlouk's NPI number?

The NPI number for Omar Mamlouk is 1629489703. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Omar Mamlouk located?

Omar Mamlouk practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 563-7100.

What is Omar Mamlouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Omar Mamlouk enrolled in Medicare?

Yes. Omar Mamlouk 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 Omar Mamlouk was last updated on October 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.