DR. OMAR ALEXANDER PROTZUK MD
NPI 1982267274
Orthopaedic Surgery - Sports Medicine in Richmond, VA

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
VCUHS DEPT OF ORTS RESIDENCY, 980153, 1250 E. MARSHALL STREET, RICHMOND, VA 23298(804) 827-1204 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Jun 13, 2024, May 1, 2024 and 3 more (6 updates tracked since 2019).

About Dr. Omar Alexander Protzuk Md NPPES

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

DR. OMAR ALEXANDER PROTZUK MD (NPI 1982267274) is an individual sports medicine provider in Richmond, Virginia, licensed in Virginia (0101285954) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1982267274
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. OMAR ALEXANDER PROTZUKCredential: MD
Location AddressVCUHS DEPT OF ORTS RESIDENCY, 980153, 1250 E. MARSHALL STREETRichmond, VA 23298-0153
Mailing Address1200 E Broad St # 980153Richmond, VA 23298-5025 · (804) 628-2676
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateAugust 13, 20256 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1982267274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in VA · 0101285954
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 1018532 (MA)
VCUHS DEPT OF ORTS RESIDENCY, 980153, Richmond, VA 23298

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5655

Accepted 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

Dr. Omar Alexander Protzuk 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 ID7214262450
PECOS Enrollment IDI20250925003796
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

2

Medicare enrollment records show Omar Protzuk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

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 Protzuk's NPI number?

The NPI number for Omar Protzuk is 1982267274. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Omar Protzuk located?

Omar Protzuk practices at Vcuhs Dept Of Orts Residency, 980153 1250 E. Marshall Street, Richmond, VA 23298. The listed phone number is (804) 827-1204.

What is Omar Protzuk's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Omar Protzuk enrolled in Medicare?

Yes. Omar Protzuk 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 Protzuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Protzuk reassigns Medicare benefits to 2 organizations: Mcv Associated Physicians (Richmond, VA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Protzuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Protzuk accept?

Health plans from Oscar Health list Omar Protzuk 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 Protzuk affiliated with any hospitals?

According to CMS data, Omar Protzuk is affiliated with John Randolph Medical Center, Medical College Of Virginia Hospitals and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Protzuk was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.