Individual provider Active NPI

Smitha Elizabeth Oommen, MD

  • Medical Oncology Physician
  • Beaumont, TX
National Provider Identifier
1184829764
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
N7853 Issued in TX
Practice address
3560 Delaware St Ste 1104
Beaumont, TX 77706-3000
Phone
(409) 347-8870
Fax
(409) 554-0016
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP1-002628 TX
Medical Oncology Physician 207RX0202X N7853 TX Primary

Addresses

Primary practice location

3560 Delaware St Ste 1104
Beaumont, TX 77706-3000

Mailing address

3560 Delaware St
Ste 1104
Beaumont, TX 77706-3000
Phone (409) 347-8870

Other practice location 1

810 Hospital Dr
Suite 301
Beaumont, TX 77701-4600
Phone (409) 347-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120207000751 TX Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 8022275858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3560 Delaware St
Beaumont, TX 77706-3000

6510 Folsom Dr
Beaumont, TX 77706-7274
Phone (409) 347-8870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-002628TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smitha E Oommen MD PLLC Internal Medicine CurrentSince Dec 19, 2011 Accepting new patients

Locations

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3560 Delaware St
Ste 1104
Beaumont, TX 77706
Phone (409) 347-8870

810 Hospital Dr
Ste 301
Beaumont, TX 77701
Phone (409) 347-8870

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBAGCA/Endpoint/HBAGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFCDA/Endpoint/GBFCDA

Organizations & group practices 1

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.

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1184829764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "STE 1104",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063000",
            "telephone_number": "409-347-8870",
            "fax_number": "409-347-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 1104",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063000",
            "telephone_number": "409-347-8870",
            "fax_number": "409-554-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Hospital Dr",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014600",
            "country_code": "US",
            "telephone_number": "409-347-8870",
            "fax_number": "409-554-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "SMITHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-002628",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "N7853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.