Individual provider Active NPI

Shimon Oami, M.D.

  • Dermatopathology (Pathology) Physician
  • Chattanooga, TN
National Provider Identifier
1831253640
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
046797 Issued in GA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170724001643 GA Practitioner - Pathology 8628128162 Reassigns benefits to 1 organization
I20170724002018 TN Practitioner - Pathology 8628128162 Reassigns benefits to 2 organizations

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
Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 8224118773, 29 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME0084307FLMDCytopathology Physician
046797GAMDCytopathology Physician
25MA07712800NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Cosmetic Dermatology Center PC CurrentSince Jul 14, 2017 Accepting new patients
Poplar Healthcare, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Skin Cancer & Cosmetic Dermatology Center, PC CurrentSince Jul 1, 2017 Accepting new patients
Khawaja Ali Hassan, Physician, PC PastSince Apr 21, 2009 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.

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

Verify at the official NPI Registry.