NPIMap

Individual provider Active NPI

Shibu Oommen, M.D.

  • Family Medicine Physician
  • Pflugerville, TX
National Provider Identifier
1447660535
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9578 Issued in TX
Practice address
2911 A W Grimes Blvd Ste 610
Pflugerville, TX 78660-5461
Phone
(512) 522-3009
Fax
(512) 866-3001
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S9578 TX Primary

Addresses

Primary practice location

2911 A W Grimes Blvd Ste 610
Pflugerville, TX 78660-5461

Mailing address

2911 A W Grimes Blvd Ste 610
Pflugerville, TX 78660-5461
Phone (512) 522-3009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@hcendo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729000250 TX Practitioner - Family Practice 0749400240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hill Country Endocrinology PLLCGroup PAC ID 0941695639, 2 clinicians

Practice addresses (Care Compare)

13625 Ronald W Reagan Blvd
Unit 300
Cedar Park, TX 78613-2073
Phone (512) 522-3009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7166NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
Scott & White Clinic Family Medicine Current Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Nebraska Medical Center Family Medicine Past Accepting new patients
Hill Country Endocrinology PLLC Family Medicine Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

7451 W State Highway 29
Georgetown, TX 78628
Phone (512) 509-8700

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: info@hcendo.com
  • Direct secure messaging: soommen860747@direct.sw.org

Organizations & group practices 7

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 6

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1447660535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 610",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605461",
            "telephone_number": "512-522-3009",
            "fax_number": "512-866-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 610",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605461",
            "telephone_number": "512-522-3009",
            "fax_number": "512-866-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "SHIBU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hcendo.com",
            "affiliation": "N",
            "endpointDescription": "info@hcendo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2911 A W Grimes Blvd Ste 610",
            "city": "Pflugerville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786605461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.