OMAR MERCHANT
NPI 1861846859
Internal Medicine in Dallas, TX

Q: 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.

Q: What is Omar Merchant's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omar Merchant was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

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: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Jan 15, 2021 (2 updates tracked since 2021).

On this page

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 UpdateDecember 5, 20242 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ 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, Community Health Choice, Oscar Insurance Company.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 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.

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 3

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

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

White Rock Medical Center

Acute Care Hospitals · Dallas, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450678

Location9440 Poppy DriveDallas, TX 75218 · 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

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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.

What insurance does Omar Merchant accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice 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, Medical City Plano and White Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Merchant was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.