Active NPI
Joseph a Oommen MD PLLC
- Neurology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M7491
- Legal business name
- JOSEPH A OOMMEN MD PLLC
- Practice address
- 3560 Delaware St Ste 1104
Beaumont, TX 77706-3000 - Phone
- (409) 347-8870
- NPI assigned
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Anthony Oommen, M.D.
- Title
- Medical Director
- Phone
- (409) 347-8870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M7491 | TX | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | M7491 | TX | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | M7491 | TX |
Addresses
Primary practice location
3560 Delaware St Ste 1104
Beaumont, TX 77706-3000
Mailing address
3560 Delaware St Ste 1104
Beaumont, TX 77706-3000
Phone (409) 347-8870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2040210 | Joseph a Oommen MD PLLC | Certificate of waiver | Apr 24, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHHEBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Beaumont, TX
- NPI 1770518516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1568755544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST STE 1104",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063000",
"telephone_number": "409-347-8870",
"fax_number": "409-347-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST STE 1104",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063000",
"telephone_number": "409-347-8870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH A OOMMEN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A",
"authorized_official_last_name": "OOMMEN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "409-347-8870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M7491",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "TX",
"license": "M7491",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "TX",
"license": "M7491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.