Mutaz Ombada, MD
NPI 1336597202ActiveIndividual· Psychiatry & Neurology, Neurocritical Care· Jacksonville, FL
Psychiatry & Neurology, Neurocritical Care (MD) with Charleston Area Medical Center Inc and 1 other group, practicing in Jacksonville, Florida. Medicare paid $17,267 for services to 45 patients in 2024. Lists Ascension St Vincent's Riverside and 1 other hospital as hospital affiliations.
Overview
| NPI | 1336597202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 1, 2016 |
| Last updated in NPPES | Nov 4, 2026 |
| Certified by provider | Nov 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurocritical Care Primary | 2084A2900X | ME159445 | FL |
| Internal Medicine | 207R00000X | 31171 | WV |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 31171 | WV |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 2026-02755 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (FL); Practitioner - Critical Care (Intensivists) (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 121 across 11 procedure codes |
| Paid by Medicare | $17,267 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Critical Care (Intensivists) |
Medical groups
- Charleston Area Medical Center IncCharleston, WV · 985 clinicians
- St Vincent's Ambulatory Care IncJacksonville, FL · 310 clinicians
Hospital affiliations
- Ascension St Vincent's RiversideJacksonville, FL
- Charleston Area Medical CenterCharleston, WV
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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