Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omar Mohtadi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205288701

Omar Mohtadi, MD is an Internal Medicine in Lafayette, Indiana. Qualified in 2010, 16 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2600 Greenbush St
Lafayette, IN 47904-2477
Phone: (765) 448-8000
Fax: (765) 448-7605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 — (765) 448-8000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01081879A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205288701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address1200 W White River Blvd, Muncie, IN 47303-4988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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