Individual provider Active NPI

Omar Caticha, MD

  • Internal Medicine Physician
  • Taunton, MA
National Provider Identifier
1700873924
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153124 Issued in MA
Practice address
54 Court St
Taunton, MA 02780-3201
Phone
(508) 821-2500
Fax
(401) 334-9808
NPI assigned
Oct 3, 2005
Last updated
Nov 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 153124 MA Primary

Addresses

Primary practice location

54 Court St
Taunton, MA 02780-3201

Mailing address

PO Box 9132
Brookline, MA 02446-9132
Phone (800) 927-0002

Other identifiers 1

IdentifierTypeStateIssuer
3165183MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20061116000131 MA Practitioner - Internal Medicine 5991766776 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 30, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 30, 2018 Accepting new patients

Locations

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

54 Court St
Taunton, MA 02780
Phone (508) 821-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1700873924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9132",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469132",
            "telephone_number": "800-927-0002",
            "fax_number": "603-890-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 COURT ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803201",
            "telephone_number": "508-821-2500",
            "fax_number": "401-334-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATICHA",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "153124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3165183",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.