Individual provider Active NPI

Karanita Mary Ojomo, M.D.

  • Radiation Oncology Physician
  • Pulaski, VA
National Provider Identifier
1033182845
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101840368 Issued in VA
Practice address
2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone
(540) 994-8545
Fax
(540) 994-8568
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101840368 VA Primary

Addresses

Primary practice location

2400 Lee Hwy N
Pulaski, VA 24301-2326

Mailing address

2013 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 982-0237

Other identifiers 1

IdentifierTypeStateIssuer
5849969MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000806 VA Practitioner - Radiation Oncology 2668661604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Eastern Virginia Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (888) 678-0622

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Hematology Associates of Southwest Virginia, Inc. Radiation Oncology CurrentSince Dec 1, 2000 Accepting new patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Dec 1, 2000 Accepting new patients

Locations

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2013 Jefferson St SW
Fl 1
Roanoke, VA 24014
Phone (540) 981-7552

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7377

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: karanita.ojomo@brcc.ikm.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBFHCD/Endpoint/CBFHCD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medi Home Health & HospicePulaski, VA, CCN 491586 Hospice Contracted Managing Employee Aug 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1033182845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-982-0237",
            "fax_number": "540-982-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LEE HWY N",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243012326",
            "telephone_number": "540-994-8545",
            "fax_number": "540-994-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJOMO",
        "first_name": "KARANITA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101840368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5849969",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

Verify at the official NPI Registry.