Omso Medical LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36095395 Issued in IL

Legal business name

OMSO MEDICAL LTD

Practice address

5435 Bull Valley Rd
Suite 218
McHenry, IL 60050-7435

Phone

(815) 578-0224

Fax

(815) 578-0525

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Oscar Mauricio Sanchez, MDNPI 1164426094

Title

President

Phone

(815) 578-0224

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oscar Mauricio Sanchez, M.D.

  • Internal Medicine Physician
  • McHenry, IL
  • NPI 1164426094
  Medicare reassignment NPD Authorized official
• Prodyot Kumar Mitra, MD

  • Surgery Physician
  • McHenry, IL
  • NPI 1699841247
  NPD (past)
• Sanjukta Mitra, MD

  • Internal Medicine Physician
  • McHenry, IL
  • NPI 1255407805
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1104948991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD STE 218",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507435",
            "telephone_number": "815-578-0224",
            "fax_number": "815-578-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD",
            "address_2": "SUITE 218",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507435",
            "telephone_number": "815-578-0224",
            "fax_number": "815-578-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMSO MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-578-0224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36095395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095395",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36095395",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany A Oliver
• Delaney Olsen
• Wendy Susan Olson
• Tyler Oman
• Oms Dental LLC
• Kristi Lee Oneill Tharp
• Paul F Oneill, M.D.
• Sandra Lynn Opatrny
• Mary Caroline Origer
• Elizabeth Orozco Cruz

• Internal Medicine Physician in McHenry, IL
• Providers in McHenry, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.