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

OMAR MERCHANT
NPI 1861846859
Internal Medicine in Dallas, TX

Active since April 16, 2016PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
12700 HILLCREST RD STE 145, DALLAS, TX 75230(214) 506-3058 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2026, Dec 5, 2024, Jan 15, 2021 (3 updates tracked since 2021).

About Omar Merchant NPPES

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

OMAR MERCHANT (NPI 1861846859) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (R4744) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Dallas Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861846859
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOMAR MERCHANT
Location Address12700 HILLCREST RD STE 145Dallas, TX 75230-2059
Mailing Address12700 Hillcrest Rd Ste 145Dallas, TX 75230-2059 · (214) 506-3058
Phone(214) 506-3058
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2016
Enumeration DateApril 16, 2016
Last NPPES UpdateSeptember 27, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2026
✔ NPI 1861846859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R4744
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License R4744 (TX)
12700 HILLCREST RD STE 145, Dallas, TX 75230
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16720 Bertner AveHouston, TX 77030-2604 · Phone (832) 355-1000
Location 21 Baylor PlzHouston, TX 77030-3411 · Phone (713) 798-4951

Other Identifiers 1

Other649381TX · Texas Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Omar Merchant 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 ID4587903299
PECOS Enrollment IDI20190225001211
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 Reassignments

6

Medicare enrollment records show Omar Merchant reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peak Medical PLLC
15 mi
Internal Medicine
1785 STATE HIGHWAY 26 STE 200
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1114888765 (817) 440-3361
Sonoran Health PLLC
20 mi
Internal Medicine
1400 N COIT RD STE 302
Mckinney, TX 75071
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1730927690 (214) 945-3640
Peak Wound PLLC
215 mi
Internal Medicine
17070 RED OAK DR STE 504
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1750242301 (972) 640-6271
Baylor College Of Medicine
236 mi
Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1104867175 (713) 798-2500
Baylor College Of Medicine
237 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000
Solace Health Medical Group Inc
1,469 mi
Geriatric Medicine
401 WARREN ST STE 300
Redwood City, CA 94063
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1801669924 (708) 320-1477

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.

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.
152 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Dallas Medical Center

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450379
Location7 Medical ParkwayDallas, TX 75234 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES

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

PEAK WOUND CARE PLLC
Internal Medicine
12700 HILLCREST RD STE 145
DALLAS, TX 75230
Dallas County (972) 945-8680

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 Merchant's NPI number?

The NPI number for Omar Merchant is 1861846859. It was assigned to this individual provider in the NPPES registry on April 16, 2016.

Where is Omar Merchant located?

Omar Merchant practices at 12700 Hillcrest Rd Ste 145, Dallas, TX 75230. The listed phone number is (214) 506-3058.

What is Omar Merchant's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Omar Merchant enrolled in Medicare?

Yes. Omar Merchant 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 organizations bill Medicare for Omar Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Merchant reassigns Medicare benefits to 6 organizations: Peak Medical PLLC (Grapevine, TX), Sonoran Health PLLC (Mckinney, TX), Peak Wound PLLC (Houston, TX), Baylor College Of Medicine (Houston, TX), Baylor College Of Medicine (Houston, TX) and 1 more organization, listed in the Medicare section above. Each 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 Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Merchant accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Omar Merchant 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 Merchant affiliated with any hospitals?

According to CMS data, Omar Merchant is affiliated with Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Merchant was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.