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: August 02, 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, is affiliated with Harris Health System, and maintains 4 additional practice locations.

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
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

Other Names 1

Professional Name (2)Dr. Omar Mohammad Ismail

Secondary Practice Locations 4

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (205) 934-2490
Location 225553 Highway 59Porter, TX 77365-6154 · Phone (713) 442-2100
Location 313105 Wortham Center DrHouston, TX 77065-5611 · Phone (713) 442-4000
Location 49110 Katy FwyHouston, TX 77055-7423 · Phone (713) 442-6900

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

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.

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

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

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.

Ophthalmology
6400 FANNIN ST, SUITE 1800
HOUSTON, TX 77030

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.

What insurance does Omar Ismail accept?

Health plans from Community Health Choice and 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.

Is Omar Ismail affiliated with any hospitals?

According to CMS data, Omar Ismail is affiliated with Harris Health System.

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 12 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.