NIDAL BASSAM OMAR – Neurological Surgery Physician, NPI 1639565294

NIDAL BASSAM OMAR is a healthcare provider. based in Birmingham, Alabama. specializing in NEUROSURGERY. They hold a License No. MD.36032 (AL). The NPI Number for NIDAL BASSAM OMAR is 1639565294

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
NIDAL BASSAM OMAR
NPI
1639565294
Phone
(205) 934-3546
Address
625 19TH STREET SOUTH
Enumeration Date
10 April 2015
Last Update Date
13 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2514356850
Graduation Year
2015 (11 years ago)
PAC ID
6103147814
Group Practice PAC ID
7012267768
Professional Enrollment ID
I20220720001708
Address ID
AL366073512MO3XXXXCIRX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

98 NEUROSURGERY in AL

Provider Addresses for NIDAL BASSAM OMAR

  • 625 19TH STREET SOUTH

    BIRMINGHAM, AL 35249

    Phone: (205) 934-3546

    Type: Mailing

  • 3 MOBILE INFIRMARY CIR STE 410

    MOBILE, AL 366073512

    Phone: (251) 232-3314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($151).

Total Amount

$437

General + Research + Ownership

Payments

15

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220720001708INeurosurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
22614Fusion of additional segment of spine6413$0
99205New patient office or other outpatient visit, 60-74 minutes5858$0
99214Established patient office or other outpatient visit, 30-39 minutes5648$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4544$0
99215Established patient office or other outpatient visit, 40-54 minutes4438$0
View full utilization report →

Insurance plans in this area (ZIP 35249)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012267768View full group profile
NameSpecialtyState
N E U R O S U R G E R YAL
Physician AssistantFL
-NY
N E U R O S U R G E R YAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I use this page to confirm NIDAL BASSAM OMAR's NPI?
Yes. NIDAL BASSAM OMAR is listed with NPI 1639565294 in the public NPI dataset.
Does CMS list NIDAL BASSAM OMAR as active?
Yes — NIDAL BASSAM OMAR is active in the NPI listing used on this page.
What is NIDAL BASSAM OMAR best known for clinically?
Directory data describes NIDAL BASSAM OMAR with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NIDAL BASSAM OMAR?
NIDAL BASSAM OMAR's geographic hint is Birmingham, Alabama in our summary view.
Is the information about NIDAL BASSAM OMAR up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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