Richard Sean Omsberg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03654 Issued in TX

Practice address

11410 Jollyville Rd Ste 1101
Austin, TX 78759-4093

Phone

(512) 231-1444

NPI assigned

Mar 23, 2007

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Austin PLLCGroup PAC ID 7810087905, 59 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.2 of 100Reported as group

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richardomsberg@uroaustin.medalliesdirect.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.

• Urology Austin, PLLC

  • Urology Physician
  • Austin, TX
  • NPI 1093837312

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Urology Austin PLLC

  • Durable Medical Equipment & Medical Supplies
  • Kyle, TX
  • NPI 1225920945
  NPD
• Blaine Randall Blakestad MD PA

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lufkin, TX
  • NPI 1124346598
  NPD (past)
• James R. Young MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Nacogdoches, TX
  • NPI 1336329457
  NPD (past)
• Liesel E.a. Leedy MD PA

  • Anesthesiology Physician
  • Nacogdoches, TX
  • NPI 1043490188
  NPD (past)
• Lyle L. Brown MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Nacogdoches, TX
  • NPI 1407098031
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1366569402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598869",
            "telephone_number": "512-687-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE RD STE 1101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594093",
            "telephone_number": "512-231-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMSBERG",
        "first_name": "RICHARD",
        "middle_name": "SEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.