Individual provider Active NPI

Japheth M Omwenga, ARNP

  • Critical Care Medicine Registered Nurse
  • Celebration, FL
National Provider Identifier
1457861551
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN9335373 Issued in FL
Practice address
2940 Mallory Cir Ste 204
Celebration, FL 34747-1818
Phone
(407) 507-2615
NPI assigned
Oct 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN9335373 FL Primary

Addresses

Primary practice location

2940 Mallory Cir Ste 204
Celebration, FL 34747-1818

Mailing address

1121 Darnaby Way
Orlando, FL 32824-5035
Phone (407) 456-1342

Other practice location 1

2940 Mallory Cir Ste 204
Celebration, FL 34747-1818

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000236 FL Practitioner - Nurse Practitioner 3678927035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9335373FLMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Respro Sleep CurrentSince Jul 23, 2025 Accepting new patients
Florida Lung Asthma and Sleep Specialists, P.a. CurrentSince Aug 17, 2023 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2940 Mallory Cir
Ste 204
Kissimmee, FL 34747
Phone (407) 507-2615

3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615

4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457861551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 DARNABY WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245035",
            "telephone_number": "407-456-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 204",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-507-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Mallory Cir Ste 204",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347471818",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMWENGA",
        "first_name": "JAPHETH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9335373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.