Active NPI
Peter Kaga Omot II
- Non-emergency Medical Transport (VAN)
- Saint Cloud, MN
National Provider Identifier
1316705320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- K811182269510
- Practice address
- 22 Wilson Ave NE Ste 15
Saint Cloud, MN 56304-0403 - Phone
- (320) 443-4418
- NPI assigned
- Mar 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | K811182269510 | MN | Primary |
Addresses
Primary practice location
22 Wilson Ave NE Ste 15
Saint Cloud, MN 56304-0403
Mailing address
22 Wilson Ave NE Ste 15
Saint Cloud, MN 56304-0403
Phone (320) 443-4418
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K811182269510 | MN | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Transit Solutions | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
| Med Transit Solutions | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
Locations
22 Wilson Ave NE
Ste 15
Saint Cloud, MN 56304
Phone (320) 422-1628
Organizations & group practices 2
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.
-
- Non-emergency Medical Transport (VAN)
- Saint Cloud, MN
- NPI 1972351062
-
- Non-emergency Medical Transport (VAN)
- Saint Cloud, MN
- NPI 1972493062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1316705320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WILSON AVE NE STE 15",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563040403",
"telephone_number": "320-443-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WILSON AVE NE STE 15",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563040403",
"telephone_number": "320-443-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOT",
"first_name": "PETER",
"middle_name": "KAGA",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MN",
"license": "K811182269510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.