{"npi":"1144586934","type":"NPI-1","status":"active","name":{"display":"Omer Al-Buoshkor MD","other":[],"first":"OMER","last":"AL-BUOSHKOR","middle":"S","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"IN","license":"01074323A"}]},"addresses":[{"purpose":"LOCATION","street_1":"550 UNIVERSITY BLVD","city":"INDIANAPOLIS","state":"IN","postal_code":"462025149","country_code":"US","street_2":"UH 1501","phone":"3179481310","fax":"3179480503"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US"}],"license":{"state":"IN","number":"01074323A"},"identifiers":[{"type_code":"01","label":"Other","value":"000000945075","state":"IN","issuer":"ANTHEM PTAN"},{"type_code":"05","label":"Medicaid","value":"201093080","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150604002827","type_code":"14-C6","type_desc":"PRACTITIONER - HOSPITALIST","state":"IN","pac_id":"7719125814"}]},"enumeration_date":"2012-04-05","last_updated":"2025-05-07","_meta":{"source":"NPPES","snapshot_date":"2025-05-07","doc_url":"https://findmynpi.com/api"}}