OMAR M ISSA D.O.
NPI 1639515398
Internal Medicine - Cardiovascular Disease in Coral Gables, FL

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
77.35/100
CMS Quality Rating
475 BILTMORE WAY STE 201, CORAL GABLES, FL 33134(305) 443-5291 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Omar M Issa D.o. NPPES

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

OMAR M ISSA D.O. (NPI 1639515398) is an individual cardiovascular disease provider in Coral Gables, Florida, licensed in Florida (OS12687) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Miami Beach.

NPPES Registry Identity

NPI1639515398
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameOMAR M ISSACredential: D.O.
Location Address475 BILTMORE WAY STE 201Coral Gables, FL 33134-5724
Mailing Address2797 1st St Apt 1202Fort Myers, FL 33916-1861 · (561) 350-8824
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2012
Enumeration DateMay 21, 2013
Last NPPES UpdateJuly 1, 2019
NPI 1639515398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · OS12687
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

475 BILTMORE WAY STE 201, Coral Gables, FL 33134

Secondary Practice Location 1

Location 14300 Alton RdMiami Beach, FL 33140-2948 · Phone (305) 674-2020

Accepted 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

Omar M Issa D.o. 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 ID3274755848
PECOS Enrollment IDI20190516001131
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 28

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
457 services251 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.
427 services217 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
333 services210 patients
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.
273 services76 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
237 services195 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
217 services175 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

77.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.34
Improvement Activities40
Cost38.74

Reported Quality Measures

Advance Care Plan
39%228 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
50%156 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
61%128 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%619 patients4/55-star benchmark: 100%
e-Prescribing
99%706 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
30%215 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%320 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%264 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 94% · 314 patients
92%314 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 30% · 192 patients
30%192 patients
Provide Patients Electronic Access to Their Health Information
42%551 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%217 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$48.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$15.66 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers20 claims20 services$10.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$78.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
475 BILTMORE WAY STE 201
CORAL GABLES, FL 33134

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 Issa's NPI number?

The NPI number for Omar Issa is 1639515398. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Omar Issa located?

Omar Issa practices at 475 Biltmore Way Ste 201, Coral Gables, FL 33134. The listed phone number is (305) 443-5291.

What is Omar Issa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Omar Issa enrolled in Medicare?

Yes. Omar Issa 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 Issa accept?

Health plans from Molina Healthcare list Omar Issa 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 Issa affiliated with any hospitals?

According to CMS data, Omar Issa is affiliated with Baptist Hospital Of Miami, South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Omar Issa was last updated on July 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.