Individual provider Active NPI

Deepak Kurian Ozhathil, M.D.

  • Surgery Physician
  • Galveston, TX
National Provider Identifier
1366706293
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RS2014-0553 Issued in NM
Practice address
110 Barracuda Ave
Galveston, TX 77550-3221
Phone
(508) 654-8246
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RS2014-0553 NM Primary

Addresses

Primary practice location

110 Barracuda Ave
Galveston, TX 77550-3221

Mailing address

110 Barracuda Ave
Galveston, TX 77550-3221
Phone (508) 654-8246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210427002196 SC Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6305080540 Reassigns benefits to 1 organization
I20250113001219 OH Practitioner - General Surgery 6305080540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Hospital Medical Center of AkronGroup PAC ID 0648183012, 145 clinicians

Practice addresses (Care Compare)

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-1000

Hospital & facility affiliations

  • Akron Children'S Hospital Hospital, Akron, OH, CCN 363303

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 15, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol Surgery CurrentSince Apr 15, 2021 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Dec 23, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Dec 23, 2024 Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1366706293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BARRACUDA AVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503221",
            "telephone_number": "508-654-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BARRACUDA AVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503221",
            "telephone_number": "508-654-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZHATHIL",
        "first_name": "DEEPAK",
        "middle_name": "KURIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "RS2014-0553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.