MENNATALLAH OMAR (MD) – Surgery Physician, NPI 1619359551
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
Provider Addresses for MENNATALLAH OMAR (MD)
3000 ARLINGTON AVE
MS 1050, GRADUATE MEDICAL EDUCATION
TOLEDO, OH 436142595
Phone: (419) 383-4000
Type: Location
2281 HAYES AVE
FREMONT, OH 434202632
Phone:
Type: Mailing
2281 Hayes Ave
Fremont, OH 434202632
Phone: (419) 355-8488
Type: Location
501 VAN BUREN ST STE 203
FOSTORIA, OH 448301593
Phone: (419) 355-8488
Fax: (419) 355-8490
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $3,081.
Total Amount is formed as General ($3,081) + Research ($0) + Ownership ($0) = $3,081.
Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,081).
Total Amount
$3,081
General + Research + Ownership
Payments
2
Total payment records
General Amount
$3,081
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,081 |
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: 2022-08-16
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 |
|---|---|---|---|---|
| I20220816001328 | I | General Surgery | OH | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 47 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 34 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 39 | 38 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 31 | 31 | $0 |
Insurance plans in this area (ZIP 43614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Family Practice | MI |
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