Individual provider Active NPI

Omar A. Colon, M.D.

  • Psychiatry Physician
  • Oswego, NY
National Provider Identifier
1093061293
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
284518 Issued in NY
Practice address
110 W 6TH St
Oswego, NY 13126-2507
Phone
(315) 326-4138
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 284518 NY Primary

Addresses

Primary practice location

110 W 6TH St
Oswego, NY 13126-2507

Mailing address

4058 Flying Fish LN
Jamesville, NY 13078-9847
Phone (215) 834-8661

Other practice location 1

29 E Cayuga St
Oswego, NY 13126-1241
Phone (315) 326-4100

Other identifiers 1

IdentifierTypeStateIssuer
284518OtherNYPSYCHIATRIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160916002014 NY Practitioner - Psychiatry 3870880990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

29 E Cayuga St
Suite 400
Oswego, NY 13126-1241
Phone (315) 326-3536

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284518NYMDPsychiatry Physician
009622NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego Hospital CurrentSince Jul 1, 2016 Accepting new patients
Oswego Hospital PastSince Jul 1, 2016 Accepting new patients

Locations

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

74 Bunner St
Oswego, NY 13126
Phone (315) 326-4100

29 E Cayuga St
Oswego, NY 13126
Phone (315) 326-4100

29 E Cayuga St
Ste 400
Oswego, NY 13126
Phone (315) 326-3536

Interoperability endpoints

  • Direct secure messaging: ocolon@oswegohealth.hiemail.healtheconnections.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1093061293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 FLYING FISH LN",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789847",
            "telephone_number": "215-834-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-326-4138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E Cayuga St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131261241",
            "country_code": "US",
            "telephone_number": "315-326-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "OMAR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "284518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIST",
            "identifier": "284518",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.