Phalyka Oum, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

115694 Issued in FL

Practice address

3700 NW 83Rd St
Gainesville, FL 32606-5603

Phone

(352) 371-7546

Fax

(352) 335-7546

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Pediatric Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Skin Cancer and Dermatology Specialists, PAGroup PAC ID 4082518881, 9 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

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.

• Florida Skin Cancer & Dermatology Specialists, PA

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1427141332
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Gainesville, LLC

  dba Florida Skin Cancer And Dermatology Specialist

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1588170591
  NPD

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1417272469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357730",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357730",
            "telephone_number": "352-371-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW 83RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065603",
            "telephone_number": "352-371-7546",
            "fax_number": "352-335-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUM",
        "first_name": "PHALYKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "115694",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009664500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Renee Ott, OTR/L
• Marc Edward Ottenga, D.D.S.
• Otter & Trout Trading Co Inc
• Tyler James Otto
• Ayodeji A Otufowora, MD
• Amber Ousley
• Kathleen Lynn Outman, OTR/L
• Alexa E Ovalles Lacruz, MD
• Ovation Home Care, LLC (Ovation Home Care)
• Aaron Mitchell Overton, PHARMD

• Dermatology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.