Omkar Nath Tiku, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

76-109 Issued in NM

Practice address

130 S 3Rd St
Raton, NM 87740-3910

Phone

(575) 445-5548

Fax

(575) 445-5560

NPI assigned

Oct 6, 2006

Last updated

Jul 29, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Doctors Tiku PC

  • Surgery Physician
  • Raton, NM
  • NPI 1679617153
  Authorized official Same address or phone

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1750478202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877400968",
            "telephone_number": "575-445-5548",
            "fax_number": "575-445-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 3RD ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877403910",
            "telephone_number": "575-445-5548",
            "fax_number": "575-445-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKU",
        "first_name": "OMKAR",
        "middle_name": "NATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "76-109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27912",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Tapia, CSW
• Tdcrotinger
• Teambuilders Behavioral Health, LLC
• Tiger Den Wellness Center
• Jameela Bai Tiku, M.D.
• TKM Corporation (Medicine Shoppe)
• Ryan Trejo
• Susanne Tripodi, D.O.M.
• Andrea M Trujillo, BMS
• Cherie C Trujillo, BMS

• Surgery Physician in Raton, NM
• Providers in Raton, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.