Active NPI
Smitha Elizabeth Oommen, MD
- Medical Oncology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- N7853
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-002628 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smitha E Oommen MD PLLC | Internal Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/HBAGCA/Endpoint/HBAGCA
- 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.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.