Individual provider Active NPI

Roy Georgi Oommen, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cortlandt Manor, NY
National Provider Identifier
1669653184
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
255950 Issued in NY
Practice address
1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone
(914) 293-8600
Fax
(914) 293-8606
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1563394012 CT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 247213 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 255950 NY Primary

Addresses

Primary practice location

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111

Mailing address

50 Dayton LN
Suite 202
Peekskill, NY 10566-2859
Phone (914) 739-0087

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address roo9012@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000832 NY Practitioner - Thoracic Surgery 9537316054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Howard University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Westchester Medical Practice PCGroup PAC ID 9335238732, 198 clinicians
Lawrence Medical Associates PCGroup PAC ID 1759439631, 226 clinicians

Practice addresses (Care Compare)

1978 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 293-8700

55 Palmer Ave
Bronxville, NY 10708-3403

685 White Plains Rd
Eastchester, NY 10709-5545

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1563394012CTMDSurgery Physician
255950NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Practice, PC CurrentSince Jan 5, 2016 Accepting new patients
The Trustees of Columbia University in the City of New York Surgery CurrentSince Jan 1, 2016 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jan 5, 2015 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jan 5, 2015 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jan 5, 2016 Accepting new patients
Columbia Doctors of New Jersey, P. C. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

50 Dayton Ln
Ste 202
Peekskill, NY 10566

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1669653184",
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN",
            "address_2": "SUITE 202",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662859",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674111",
            "telephone_number": "914-293-8600",
            "fax_number": "914-293-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "ROY",
        "middle_name": "GEORGI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "1563394012",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "247213",
            "primary": false
        },
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            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
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            "endpointTypeDescription": "FHIR URL",
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            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
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            "country_name": "United States",
            "address_type": "DOM"
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            "affiliation": "N",
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            "useDescription": "Health Information Exchange (HIE)",
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            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1978 Crompond Rd",
            "city": "Cortlandt Manor",
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            "country_name": "United States",
            "address_type": "DOM"
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        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roo9012@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
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            "contentTypeDescription": "Other",
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            "address_1": "1978 Crompond Rd",
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            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.