Active NPI
Valerie Ann Omicioli, MD
- Obstetrics & Gynecology Physician
- Indianapolis, IN
National Provider Identifier
1144291253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01074576A
- Practice address
- 550 University Blvd
Indianapolis, IN 46202-5149 - Phone
- (314) 799-0273
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 2006019886 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 01074576A | IN | Primary |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202-5149
Mailing address
1505 Applecroft LN
Cockeysville, MD 21030-1601
Phone (314) 286-2447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201245206 | Medicaid | MO | |
| 201253640 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01074576A | IN | MD | Obstetrics & Gynecology Physician |
| 2006019886 | MO | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Obstetrics & Gynecology | Past | Accepting new patients |
| University of MD Obstetrical and Gynecological Asso. PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1144252990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1144291253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 APPLECROFT LN",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210301601",
"telephone_number": "314-286-2447",
"fax_number": "314-286-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "314-799-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMICIOLI",
"first_name": "VALERIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MO",
"license": "2006019886",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01074576A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201245206",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201253640",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.