Shobin Oommen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD431442 Issued in PA

Practice address

1172 W Main St Ste B
Stroudsburg, PA 18360-1329

Phone

(570) 424-6187

Fax

(570) 424-6271

NPI assigned

Jul 17, 2007

Last updated

Aug 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York General Medical Services PCGroup PAC ID 7810255494, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Merit-based Incentive Payment System (MIPS)

Final score

21.61 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.03

Merit-based Incentive Payment System (MIPS)

Final score

89.72 of 100Reported as apm

Quality

72.97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment Care Compare group NPD
• Shobin Oommen Physician, PC

  • Behavior Analyst
  • New Hyde Park, NY
  • NPI 1275853129
  Medicare reassignment NPD Authorized official
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment NPD
• Priyadarshan Bajpayi, M.D. PC

  dba Evolve Psychiatry

  • Psychiatry Physician
  • Massapequa, NY
  • NPI 1629534474
  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1700215886
  NPD
• Isl, LTD

  • Psychiatry Physician
  • Stroudsburg, PA
  • NPI 1770592370
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1205035383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 W MAIN ST STE B",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601329",
            "telephone_number": "570-424-6187",
            "fax_number": "570-424-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 W MAIN ST STE B",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601329",
            "telephone_number": "570-424-6187",
            "fax_number": "570-424-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "SHOBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD431442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Novak, MSN, CRNP, WHNP-BC
• Pete Kwabena Obeng, MD
• Yardley Marie Oley, PA-C
• Olive & Oak Psychology Center PLLC
• Brian Olzinski, OD
• Chasety Orner, MA, ATR-BC, LPC
• Jacqueline Ortiz
• Sean C Ott, VMD
• PA Inner Vision
• Diane Palmer-Heller, CPM, LM

• Psychiatry Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.

Verify at the official NPI Registry.