Individual provider Active NPI

Brian Samuel Oommen, MD

  • Neurology Physician
  • Newark, DE
National Provider Identifier
1841425964
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C1-0024424 Issued in DE
Practice address
200 Hygeia Dr Ste 1420
Newark, DE 19713-2049
Phone
(302) 623-3017
Fax
(302) 266-9960
NPI assigned
May 19, 2009
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C1-0024424 DE Primary
Neurology Physician 2084N0400X MD448588 PA
Clinical Neurophysiology Physician 2084N0600X MD448588 PA
Epilepsy Physician 2084E0001X C1-0024424 DE

Addresses

Primary practice location

200 Hygeia Dr Ste 1420
Newark, DE 19713-2049

Mailing address

200 Hygeia Dr Ste 1420
Newark, DE 19713-2049
Phone (302) 623-3017

Other identifiers 1

IdentifierTypeStateIssuer
102930083MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boommen7743@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140728001199 PA Practitioner - Neurology 2264658210 Reassigns benefits to 4 organizations
I20210908000095 DE Practitioner - Neurology 2264658210 Reassigns benefits to 2 organizations
I20250827001042 MD Practitioner - Neurology 2264658210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

161 Wilimington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (302) 320-9440

161 Wilmington W Chester Pike
Christiana Care Concord Health Center
Chadds Ford, PA 19317-9041
Phone (610) 361-1030

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-3017

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD448588PAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Neurology CurrentSince Sep 1, 2021 Accepting new patients
Union Hospital of Cecil County Neurology CurrentSince Jul 1, 2025 Accepting new patients
University of Penn-Medical Group Neurology CurrentSince Feb 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Pinnacle Health Medical Services CurrentSince May 23, 2015 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 23, 2015 Accepting new patients
Union Hospital of Cecil County CurrentSince Jul 1, 2025 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Sep 1, 2021 Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 11, 2025 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 1, 2015 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

4000 Nexus Dr
Ste E3
Wilmington, DE 19803

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2005 Technology Pkwy
Ste 400
Mechanicsburg, PA 17050

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1841425964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 1420",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-3017",
            "fax_number": "302-266-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 1420",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-3017",
            "fax_number": "302-266-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "BRIAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0024424",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD448588",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD448588",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "DE",
            "license": "C1-0024424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102930083",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boommen7743@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2005 Technology Pkwy",
            "address_2": "Suite 400",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.