Dennis Paul Ommert, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036106075 Issued in IL

Practice address

285 Gladeside Path
Suwanee, GA 30024-1552

Phone

(678) 710-5747

NPI assigned

Aug 17, 2006

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, GA2 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1437263704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 GLADESIDE PATH",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241552",
            "telephone_number": "678-710-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GLADESIDE PATH",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241552",
            "telephone_number": "678-710-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMMERT",
        "first_name": "DENNIS",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106075",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "87826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Olearczyk, MD
• Olive Grove ABA
• Emily Anne Oliverius, M.S.CCC-SLP
• Om Primary Care LLC (Om Primary Care)
• Mijung Om, PHARM.D.
• Oneopto Ga 1 PLLC (Caris Eye Centers)
• Terryn Ononuga, RBT
• Maureen Onyewuenyi
• Mary Opara, DNP
• Open Arms Healthcare

• Internal Medicine Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.