Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OMAR SROUR MD
NPI 1861054686
Internal Medicine - Pulmonary Disease in Jackson, TN

Q: What is Omar Srour's NPI number?

The NPI number for Omar Srour is 1861054686. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Q: What is Omar Srour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Omar Srour was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since July 01, 2019PECOS Enrolled

620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Dec 29, 2025, Jul 1, 2019 (3 updates tracked since 2019).

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About Omar Srour Md NPPES

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

OMAR SROUR MD (NPI 1861054686) is an individual pulmonary disease provider in Jackson, Tennessee, licensed in Tennessee (75972) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861054686

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameOMAR SROURCredential: MD

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 541-5000

Phone(731) 541-5000

Sole ProprietorNo

Enumeration DateJuly 1, 2019

Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1861054686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 75972

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

620 SKYLINE DR, Jackson, TN 38301

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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 (PECOS)

Omar Srour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 20

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

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)