Amit Om, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2022-00012 Issued in NC

Practice address

1918 Randolph Rd Ste 550
Charlotte, NC 28207-1114

Phone

(704) 375-6766

Fax

(864) 560-7343

NPI assigned

Jun 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC, CT3 enrollments

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 3

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Laser and Vein Specialists of the Carolina'S, PLLCGroup PAC ID 9830285568, 13 clinicians

Dermatology Group of the CarolinasGroup PAC ID 3678514759, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aom@directaddress.net

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.

• Dermatology Group of the Carolinas

  • Dermatology Physician
  • Concord, NC
  • NPI 1437110772
  Medicare reassignment Care Compare group NPD
• Dermatology Laser and Vein Specialists of the Carolina'S, PLLC

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1083700207
  Medicare reassignment Care Compare group NPD
• Piction Health Medical Group, P.a.

  • Dermatology Physician
  • Boston, MA
  • NPI 1700585387

  CT

  Medicare reassignment NPD
• Richard G Bennett MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1467508523
  Medicare reassignment NPD

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1336599232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 570",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042118",
            "telephone_number": "310-315-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071114",
            "telephone_number": "704-375-6766",
            "fax_number": "864-560-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OM",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2022-00012",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "168537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Olson, M.A., CCC-SLP
• Owen John Olson, PA-C
• Asmar Olufemi
• Abisola Adebola Olulade, MD
• Om Spa Chiropractic & Wellness,P.C.
• John Omalley, D.M.D.
• Geoffrey Alan Oman
• Adam Wael Omar
• Omega Group LLC
• Andriy Omelyash

• Dermatology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.