DR. OMAR MUSHFIQ (MD, MPH) – Nephrology Physician, NPI 1225068034
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
431 NEPHROLOGY in GA
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Provider Addresses for DR. OMAR MUSHFIQ (MD, MPH)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-8420
Fax: (770) 219-8440
Type: Mailing
Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013715
Phone: (770) 219-2627
Fax: (770) 219-7365
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Ultragenyx Pharmaceutical Inc. ($27).
Total Amount
$75
General + Research + Ownership
Payments
11
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultragenyx Pharmaceutical Inc. | $27 |
| AKEBIA THERAPEUTICS INC | $25 |
| Travere Therapeutics, Inc. | $23 |
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: 2006-09-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060905000440 | I | Nephrology | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 318 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 294 | 120 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 266 | 30 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 266 | 30 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 155 | 75 | $0 |
Insurance plans in this area (ZIP 30374)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | GA | 90935 | Hemodialysis procedure with one physician evaluation | 144 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | GA | |
| Internal Medicine, Nephrology | GA | |
| N E P H R O L O G Y | GA |
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