Individual provider Active NPI

Ollya V. Fromal, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
National Provider Identifier
1396236220
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2024021909 Issued in MO
Practice address
1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304
Phone
(314) 367-1181
NPI assigned
May 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 036169889 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X 2024021909 MO Primary

Addresses

Primary practice location

1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304

Mailing address

8820 Ladue Rd Ste 203
Saint Louis, MO 63124-2080
Phone (314) 367-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO, IL3 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

Enrollment IDStateProvider typePAC IDDetails
I20220920003212 GA Practitioner - Ophthalmology 6901153634
I20240805000405 MO Practitioner - Ophthalmology 6901153634 Reassigns benefits to 1 organization
I20240809000073 IL Practitioner - Ophthalmology 6901153634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLCGroup PAC ID 9537259957, 16 clinicians

Practice addresses (Care Compare)

1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181

226 S Woods Mill Rd
Suite 50W
Chesterfield, MO 63017-3664
Phone (314) 367-1181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
95.45
Promoting interoperability
72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036169889MOMDRetina Specialist (Ophthalmology) Physician
2024021909MOMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Retina Consultants, LLC Retina Specialist CurrentSince Sep 1, 2024 Accepting new patients
River Rock Behavioral Health, LLC CurrentSince Jul 21, 2024 Accepting new patients
The Retina Institute LLC PastSince Sep 1, 2024 Accepting new patients

Locations

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

903 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-2933

5 Country Club Executive Park
Glen Carbon, IL 62034
Phone (314) 567-7771

5 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (800) 888-0011

1009 S 42nd St
Ste 3
Mount Vernon, IL 62864
Phone (618) 244-6161

1125 Hampshire St
Quincy, IL 62301
Phone (217) 222-3937

1600 S Brentwood Blvd
Ste 700
Brentwood, MO 63144

226 S Woods Mill Rd
Ste 50W
Chesterfield, MO 63017

8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267

5770 Mexico Rd
Ste D
Saint Peters, MO 63376
Phone (314) 842-2020

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ofromal@rcstl.intellechartdirect.net

Organizations & group practices 4

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": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1396236220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242080",
            "telephone_number": "314-367-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 700",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441304",
            "telephone_number": "314-367-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMAL",
        "first_name": "OLLYA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "036169889",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2024021909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.