Active NPI
Osarhiemen A. Omwanghe, MD
- Internal Medicine Physician
- League City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S7305
- Practice address
- 6465 S Shore Blvd
League City, TX 77573-5528 - Phone
- (281) 538-7735
- Fax
- (281) 538-3936
- NPI assigned
- May 17, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S7305 | TX | Primary |
Addresses
Primary practice location
6465 S Shore Blvd
League City, TX 77573-5528
Mailing address
PO Box 650859
Dept 710
Dallas, TX 75265-0859
Phone (409) 772-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200727001442 | TX | Practitioner - Internal Medicine | 5294159059 | Reassigns benefits to 1 organization |
| I20230927003541 | NJ | Practitioner - Internal Medicine | 5294159059 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Health Medical Group - Primary Care PC
Practice addresses (Care Compare)
20 Prospect Ave
Hackensack, NJ 07601-1989
Phone (551) 996-5585
Hospital & facility affiliations
- Hackensack University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7305 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Internal Medicine | Current | Accepting new patients |
| Utmb Faculty Group Practice | Internal Medicine | Current | Accepting new patients |
| Meridian Medical Group - Specialty Care, PC | Internal Medicine | Past | Accepting new patients |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
20 Prospect Ave
Ste 715
Hackensack, NJ 07601
Phone (201) 342-6600
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
6465 S Shore Blvd
League City, TX 77573
Phone (281) 538-7735
6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- oomwanghe30264@direct.vumc.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Internal Medicine, NJ
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Internal Medicine, TX
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Internal Medicine
Hospital & facility affiliations 2
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": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1164879474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650859",
"address_2": "DEPT 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650859",
"telephone_number": "409-772-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 S SHORE BLVD",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775735528",
"telephone_number": "281-538-7735",
"fax_number": "281-538-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMWANGHE",
"first_name": "OSARHIEMEN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S7305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.