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OMAR E SANDOVAL MSN, APRN, FNP-BC
NPI 1861156325
Nurse Practitioner - Family in Bellaire, TX

Active since October 29, 2021PECOS EnrolledAccepts Medicare Assignment
6500 WEST LOOP S STE 200-B, BELLAIRE, TX 77401(713) 486-2900 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, May 27, 2022 (2 updates tracked since 2022).

About Omar E Sandoval Msn, Aprn, Fnp-bc NPPES

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

OMAR E SANDOVAL MSN, APRN, FNP-BC (NPI 1861156325) is an individual family provider in Bellaire, Texas, licensed in Texas (1057676) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861156325
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameOMAR E SANDOVALCredential: MSN, APRN, FNP-BC
Location Address6500 WEST LOOP S STE 200-BBellaire, TX 77401-3503
Mailing Address6500 West Loop S Ste 200fBellaire, TX 77401-3535 · (713) 572-8122 · Fax (713) 383-1462
Phone(713) 486-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 29, 2021
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1861156325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1057676
6500 WEST LOOP S STE 200-B, Bellaire, TX 77401
Open in Google Maps ↗

Secondary Practice Location 1

Location 16410 Fannin St Ste 600Houston, TX 77030-5206 · Phone (832) 325-7161 · Fax (713) 383-1467

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 E Sandoval Msn, Aprn, Fnp-bc 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 ID8820489032
PECOS Enrollment IDI20211223000894
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 5

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
107 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services43 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.
69 services44 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.
58 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

FAIZMEEN PIRALI DHUKA MSN, APRN, FNP-C
Nurse Practitioner (Family)
6500 WEST LOOP S STE 200-B
BELLAIRE, TX 77401
Harris County (713) 486-2900

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 Sandoval's NPI number?

The NPI number for Omar Sandoval is 1861156325. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Omar Sandoval located?

Omar Sandoval practices at 6500 West Loop S Ste 200-B, Bellaire, TX 77401. The listed phone number is (713) 486-2900.

What is Omar Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Omar Sandoval enrolled in Medicare?

Yes. Omar Sandoval 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 Sandoval accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Omar Sandoval 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 Sandoval was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.