WILLIAM R. OMLIE M.D. NPI 1518997782

NPI Information

  • NPI: 1518997782
  • Provider Name: WILLIAM R. OMLIE, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6405 FRANCE AVE S
    SUITE W440
    EDINA, MN
    ZIP 55435
  • Phone: (952) 927-7004

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NPI Details

William R. Omlie, M.D. is a vascular surgery surgery in Edina, MN with 45 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. William R. Omlie, M.D. NPI is 1518997782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1981

The provider's business location address is:

6405 FRANCE AVE S
SUITE W440
EDINA, MN
ZIP 55435-163
Phone: (952) 927-7004
Fax: (952) 927-5146

The NPI 1518997782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Varicose vein removal (HCPCS:NAN08)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/4/2006 and was last updated on 4/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery27471MINNESOTANo
22086S0129XSurgeryVascular Surgery27471MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1770000002MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE
2663788400MEDICAIDMINNESOTA
3A95742MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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