DR. OMAR MEDINA (M.D.) – Orthopaedic Surgery Physician, NPI 1932633591

DR. OMAR MEDINA (M.D.) is a healthcare provider. based in Lakewood, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 65806 (TN). The NPI Number for DR. OMAR MEDINA (M.D.) is 1932633591

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMAR MEDINA (M.D.)
NPI
1932633591
Phone
(562) 884-9277
Address
5149 LEVELSIDE AVE
Enumeration Date
20 April 2017
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153223000
Graduation Year
2017 (9 years ago)
PAC ID
8325421928
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20220815002087
Address ID
TN372325100NA3601XCLIN400
Telehealth
Yes

Contacts

Secure Messaging
omedina720143@direct.vumc.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness95
Years active:9State licenses:1Other names

3,024 ORTHOPEDIC SURGERY in CA

Provider Addresses for DR. OMAR MEDINA (M.D.)

  • 5149, Levelside Avenue, Lakewood, Los Angeles County, California, 90712, United States

    LAKEWOOD, CA 907122221

    Phone: (562) 884-9277

    Type: Mailing

  • 1000 W Carson St

    Torrance, CA 905022004

    Phone: (310) 222-2345

    Type: Location

  • 1400 S Germantown Rd

    Germantown, TN 381382205

    Phone: (901) 759-3100

    Type: Location

  • West Carson Street, Harbor Gateway, Torrance, Los Angeles County, California, 90501, United States

    TORRANCE, CA 905022004

    Phone: (310) 222-2345

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone: (615) 322-5000

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $23,309.

Total Amount is formed as General ($23,309) + Research ($0) + Ownership ($0) = $23,309.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kuros Biosciences USA, Inc ($6,437).

Total Amount

$23,309

General + Research + Ownership

Payments

142

Total payment records

General Amount

$23,309

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220815002087IOrthopedic SurgeryTNTBD
I20231211000723IOrthopedic SurgeryMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3531$0
99213Established patient office or other outpatient visit, 20-29 minutes2421$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
72110X-ray of lower and sacral spine, minimum of 4 views1918$0
View full utilization report →

Insurance plans in this area (ZIP 90712)

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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: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

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Frequently asked questions

What identifier follows DR. OMAR MEDINA (M.D.) across health systems?
The NPI 1932633591 uniquely identifies DR. OMAR MEDINA (M.D.) in U.S. healthcare data.
Is DR. OMAR MEDINA (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. OMAR MEDINA (M.D.) as active.
What services align with DR. OMAR MEDINA (M.D.)'s listing?
DR. OMAR MEDINA (M.D.)'s public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. OMAR MEDINA (M.D.) in Lakewood, California?
For routing, start with Lakewood, California for DR. OMAR MEDINA (M.D.), then verify phone and hours locally.
Can I export DR. OMAR MEDINA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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