Individual provider Active NPI

Cherian S Oommen, M.D.

  • Anesthesiology Physician
  • Bristol, CT
National Provider Identifier
1336193937
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
040532 Issued in CT
Practice address
41 Brewster Rd
Bristol, CT 06010-5141
Phone
(860) 585-3474
NPI assigned
May 19, 2006
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 040532 CT Primary

Addresses

Primary practice location

41 Brewster Rd
Bristol, CT 06010-5141

Mailing address

PO Box 417297
Boston, MA 02241-7297
Phone (866) 623-3869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101021000636 CT Practitioner - Anesthesiology 6204029309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charter Anesthesiology LLCGroup PAC ID 2163763830, 34 clinicians
Midstate Gastroenterology Specialists PCGroup PAC ID 5799678736, 8 clinicians

Practice addresses (Care Compare)

41 Brewster Rd
Bristol, CT 06010-5161
Phone (800) 585-3000

455 Lewis Ave
Meriden, CT 06451-2121
Phone 2032372477222

Merit-based Incentive Payment System (MIPS)

Final score
92.72 of 100Reported as group
Quality
91.43
Promoting interoperability
100
Improvement activities
40
Cost
62.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040532CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Gastroenterology Specialists PC CurrentSince Jun 1, 2019 Accepting new patients
Charter Anesthesiology LLC Anesthesiology CurrentSince Jul 2, 2019 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

455 Lewis Ave
Ste 105
Meriden, CT 06451
Phone (203) 237-2477

Interoperability endpoints

  • Direct secure messaging: cherian.oommen@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1336193937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417297",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417297",
            "telephone_number": "866-623-3869",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BREWSTER RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105141",
            "telephone_number": "860-585-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "CHERIAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "040532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.