Organization Active NPI

Biju Oommen, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1639286529
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
L5863 Issued in TX
Legal business name
BIJU OOMMEN, M.D., P.A.
Practice address
815 S Voss Rd
Houston, TX 77057-1031
Phone
(281) 389-0366
Fax
(281) 596-4357
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Dr. Biju Oommen, M.D.
Title
Owner
Phone
(281) 389-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X L5863 TX Primary

Addresses

Primary practice location

815 S Voss Rd
Houston, TX 77057-1031

Mailing address

8307 Knight Rd
Houston, TX 77054-3905
Phone (713) 796-9955

Other identifiers 3

IdentifierTypeStateIssuer
191391501MedicaidTX
DF9433OtherTXRR MEDICARE
0018PSOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8304 Knight Rd
Houston, TX 77054
Phone (713) 799-9031

2636 S Loop W
Ste 210
Houston, TX 77054
Phone (713) 542-5600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1639286529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543905",
            "telephone_number": "713-796-9955",
            "fax_number": "713-796-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S VOSS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571031",
            "telephone_number": "281-389-0366",
            "fax_number": "281-596-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJU OOMMEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-389-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L5863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191391501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF9433",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0018PS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.