Suma Oommen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A75861 Issued in CA

Practice address

24432 Muirlands Blvd Ste 219
Lake Forest, CA 92630-3939

Phone

(949) 852-9038

NPI assigned

Jul 19, 2006

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Suma Oommen M D Inc

  • Internal Medicine Physician
  • Lake Forest, CA
  • NPI 1578733465
  Medicare reassignment Authorized official
• Pacific Private Practice Network Inc

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1033501077

  Internal Medicine

  Medicare reassignment NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• MD Solutions Medical Corp

  dba Unified Health care Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  NPD (past)

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1063431203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD",
            "address_2": "STE 219",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-852-9038",
            "fax_number": "949-852-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD STE 219",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-852-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "SUMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A758610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg S Olsen, D.C.
• Ethan Olweny
• Sara Ellen Oneill
• Alexis Victoria Onopa
• Toks Onyekwuluje
• Optimal Function Physical Therapy
• Optimal Health Medical of Orange County
• Orange County Physiotherapy Services, P.C.
• Orange County Revive Services, Inc.
• Orange County Revive Services, Inc. (OC Revive)

• Internal Medicine Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.