Individual provider Active NPI

Oommen Mammen

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1861466989
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD053276L Issued in PA
Practice address
3811 Ohara St
Suite 274
Pittsburgh, PA 15213-2561
Phone
(412) 246-5325
NPI assigned
Feb 15, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD053276L PA Primary

Addresses

Primary practice location

3811 Ohara St
Suite 274
Pittsburgh, PA 15213-2561

Mailing address

3811 Ohara St
Suite 274
Pittsburgh, PA 15213-2561

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oommen.m.mammen@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101112000360 PA Practitioner - PsychiatryPractitioner - Other (Physician) 9335334663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

3811 Ohara St
Pittsburgh, PA 15213-2561
Phone (412) 624-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 13, 1994 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 13, 1994 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

3811 Ohara St
Ste 274
Pittsburgh, PA 15213
Phone (412) 246-5325

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.

Hospital & facility affiliations 4

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1861466989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "address_2": "SUITE 274",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "address_2": "SUITE 274",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-246-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "OOMMEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD053276L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oommen.m.mammen@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.