1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Ophthalmology
  6. NPI Profile

DR. OMAR MOHAMMAD ISMAIL MD
NPI 1790247393
Ophthalmology in Houston, TX

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST, SUITE 1800, SUITE 2730, HOUSTON, TX 77030(713) 486-9412(713) 486-9492 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Jun 3, 2020, Apr 2, 2019 (3 updates tracked since 2019).

About Dr. Omar Mohammad Ismail Md NPPES

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

DR. OMAR MOHAMMAD ISMAIL MD (NPI 1790247393) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (U4823) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790247393
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. OMAR MOHAMMAD ISMAILCredential: MD
Location Address6400 FANNIN ST, SUITE 1800, SUITE 2730Houston, TX 77030-1521
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(713) 486-9412
Fax(713) 486-9492
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateJuly 18, 20253 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1790247393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · U4823
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.
6400 FANNIN ST, SUITE 1800, Houston, TX 77030
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Omar Mohammad Ismail

Secondary Practice Locations 4

Location 125553 Highway 59Porter, TX 77365-6154 · Phone (713) 442-2100
Location 29110 Katy FwyHouston, TX 77055-7423 · Phone (713) 442-6900
Location 313105 Wortham Center DrHouston, TX 77065-5611 · Phone (713) 442-4000
Location 4625 19th St SBirmingham, AL 35233-1900 · Phone (205) 934-2490

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Omar Mohammad Ismail 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 ID8022342518
PECOS Enrollment IDI20231101002914
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 Ismail reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelsey-Seybold Medical Group, PLLC
1.6 mi
Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
NPI 1013915255 (713) 442-0000

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 4

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
55 services29 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
31 services11 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.
26 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services15 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
$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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES

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

AHMAD KHEIRKHAH MD
Ophthalmology
6400 FANNIN ST, SUITE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400

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 Ismail's NPI number?

The NPI number for Omar Ismail is 1790247393. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Dr. Omar Mohammad Ismail.

Where is Omar Ismail located?

Omar Ismail practices at 6400 Fannin St, Suite 1800 Suite 2730, Houston, TX 77030. The listed phone number is (713) 486-9412.

What is Omar Ismail's specialty?

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

Is Omar Ismail enrolled in Medicare?

Yes. Omar Ismail 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 Ismail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Ismail reassigns Medicare benefits to Kelsey-Seybold Medical Group, PLLC (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 Ismail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Ismail accept?

Health plans from UnitedHealthcare list Omar Ismail 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 Ismail was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.