Om Dawani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301110606 Issued in MI

Practice address

804 Service Rd RM A225
East Lansing, MI 48824-7015

Phone

(517) 353-4941

Fax

(517) 432-3145

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Down East Community Hospital Hospital, Machias, ME, CCN 201311
• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
• Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313

Merit-based Incentive Payment System (MIPS)

Final score

47.43 of 100Reported as group

Quality

8.29

Promoting interoperability

100

Improvement activities

0

Cost

66.46

Merit-based Incentive Payment System (MIPS)

Final score

84.1 of 100Reported as group

Quality

64.8

Promoting interoperability

96

Improvement activities

40

Cost

68.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Medicare reassignment Care Compare group NPD
• MRH Corp.

  dba Mayo Regional Hospital

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Medicare reassignment NPD
• Eastern Maine Medical Center

  • Rehabilitation Hospital Unit
  • Bangor, ME
  • NPI 1780674689
  NPD
• MRH Corp.

  dba Northern Light Mayo Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Dover Foxcroft, ME
  • NPI 1548463623
  NPD
• Michigan State University

  dba Michigan State University Extension

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD (past)
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  NPD (past)
• MRH Corp.

  dba Northern Light Primary Care Dover-Foxcroft

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1548382328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Care Compare affiliation
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• Sebasticook Valley Health

  • Critical Access Hospital
  • Pittsfield, ME
  • NPI 1457461477
  Care Compare affiliation
• The Aroostook Medical Center

  dba Northern Light A.R. Gould Hospital

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Care Compare affiliation

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1699127290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SERVICE RD RM B301",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247013",
            "telephone_number": "517-353-5100",
            "fax_number": "517-432-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD RM A225",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4941",
            "fax_number": "517-432-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWANI",
        "first_name": "OM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Davis
• Damon Davis, MD
• Eboni R Davis
• John David Davis, DO
• Kendra Mariah Davis
• Dawn Maccreery OD (MacCreery Vision Center)
• Ethan Dawson-Baglien, DO
• Ashley Day, PA
• Toriana Day
• Makailey Mae De Almeida, PMHNP

• Internal Medicine Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.