Om Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME92198 Issued in FL

Legal business name

OM UROLOGY LLC

Practice address

3160 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-7204

Phone

(312) 241-6574

Fax

(321) 241-6577

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dharmi Joshi

Title

Office Manager

Phone

(321) 241-6574

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJJBBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Piyush N. Joshi, MD

  • Urology Physician
  • Sebastian, FL
  • NPI 1083697817
  Medicare reassignment NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1346462710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361785",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361785",
            "telephone_number": "321-241-6574",
            "fax_number": "321-241-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347204",
            "telephone_number": "312-241-6574",
            "fax_number": "321-241-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "DHARMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-241-6574"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME92198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion L Oliver, PHARMACIST
• Kevin Olivieri
• Kristopher J Olsen, PHD
• Sara Olson
• Jay Edward Olsson, DO PROF ASSOCIATIONN
• Jurry Om, FNP
• Omni Healthcare, Inc
• Omni Healthcare, Inc.
• Omni Healthcare, Inc.
• Omnihealthcare Inc

• Urology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.