Active NPI
Shimon Oami, M.D.
- Dermatopathology (Pathology) Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 046797
- Practice address
- 4548 Brainerd Rd
Chattanooga, TN 37411-5442 - Phone
- (423) 521-1100
- Fax
- (423) 531-7502
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | ME0084307 | FL | |
| Cytopathology Physician | 207ZC0500X | 046797 | GA | |
| Cytopathology Physician | 207ZC0500X | 25MA07712800 | NJ | |
| Cytopathology Physician | 207ZC0500X | 192231 | NY | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME0084307 | FL | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 25MA07712800 | NJ | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 192231 | NY | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 046797 | GA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 046797 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME0084307 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA07712800 | NJ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 192231 | NY |
Addresses
Primary practice location
4548 Brainerd Rd
Chattanooga, TN 37411-5442
Mailing address
4548 Brainerd Rd Ste 102
Chattanooga, TN 37411-5440
Phone (423) 521-1100
Other practice location 1
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jychung@directaddress.net | Skin Cancer & Cosmetic Dermatology Center, PC | |
| Direct Messaging Address | jychung@directaddress.net | Skin Cancer & Cosmetic Dermatology Center, PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Hahnemann University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 Battlefield Crossing CT
Ringgold, GA 30736-5176
1511 Gunbarrel Rd
Suite 101
Chattanooga, TN 37421-3897
Phone (423) 521-1100
2253 Chambliss Ave NW
Suite 300
Cleveland, TN 37311-3861
Phone (423) 472-3332
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.32 of 100
- Quality
- 64.03
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0084307 | FL | MD | Cytopathology Physician |
| 046797 | GA | MD | Cytopathology Physician |
| 25MA07712800 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Cancer and Cosmetic Dermatology Center PC | Current | Accepting new patients | |
| Poplar Healthcare, PLLC | Current | Accepting new patients | |
| Skin Cancer & Cosmetic Dermatology Center, PC | Current | Accepting new patients | |
| Khawaja Ali Hassan, Physician, PC | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Roger Koreen M.D., PC | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1107 Memorial Dr
Ste 201
Dalton, GA 30720
Phone (706) 277-7311
136 Battlefield Crossing Ct
Ringgold, GA 30736
136 Battlefield Crossing Ct
#C
Ringgold, GA 30736
1511 Gunbarrel Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 521-1100
4548 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 521-1100
4548 Brainerd Rd
Ste 102
Chattanooga, TN 37411
2253 Chambliss Ave NW
Ste 202
Cleveland, TN 37311
Phone (423) 472-3332
2253 Chambliss Ave NW
Ste 300
Cleveland, TN 37311
Phone (423) 472-3332
Organizations & group practices 7
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.
-
- Dermatology Physician
- Chattanooga, TN
- NPI 1144419458
-
- Specialist
- Memphis, TN
- NPI 1346271251
-
- Dermatology Physician
- Dalton, GA
- NPI 1376605394
-
- Plastic and Reconstructive Surgery Physician
- Rockville Centre, NY
- NPI 1104189406
-
dba Mount Sinai Pathology Consultants
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1629093869
-
dba Mount Sinai Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1740224914
-
- Specialist
- Huntington, NY
- NPI 1649343914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1831253640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4548 BRAINERD RD STE 102",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115440",
"telephone_number": "423-521-1100",
"fax_number": "423-531-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4548 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115442",
"telephone_number": "423-521-1100",
"fax_number": "423-531-7502"
}
],
"practiceLocations": [
{
"address_1": "3495 Hacks Cross Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381258803",
"country_code": "US",
"telephone_number": "901-526-7444",
"fax_number": "901-526-0791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OAMI",
"first_name": "SHIMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "FL",
"license": "ME0084307",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "GA",
"license": "046797",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NJ",
"license": "25MA07712800",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NY",
"license": "192231",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME0084307",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NJ",
"license": "25MA07712800",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NY",
"license": "192231",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "GA",
"license": "046797",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "046797",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME0084307",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA07712800",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "192231",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jychung@directaddress.net",
"affiliation": "Y",
"affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
"address_1": "4548 Brainerd Rd",
"city": "Chattanooga",
"state": "TN",
"country_code": "US",
"postal_code": "374115442",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jychung@directaddress.net",
"affiliation": "Y",
"affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
"address_1": "1107 Memorial Drive",
"address_2": "Suite 201",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "30720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.