Individual provider Active NPI

Julie Ann Omelveny, MD

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1861579609
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A046337 Issued in CA
Practice address
3000 Colby St
#200
Berkeley, CA 94705-2058
Phone
(510) 848-7977
Fax
(510) 848-2831
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A046337 CA Primary

Addresses

Primary practice location

3000 Colby St
#200
Berkeley, CA 94705-2058

Mailing address

3000 Colby St
Suite 200
Berkeley, CA 94705-2083
Phone (510) 848-7977

Other identifiers 1

IdentifierTypeStateIssuer
A46337OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as apm
Quality
56.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A046337CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn B Klebanoff MD Julie a Omelveny MD a Professional Corp. Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
My Health Medical Group Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

3000 Colby St
Ste 200
Berkeley, CA 94705
Phone (510) 665-8886

3000 Colby St
Ste 101
Berkeley, CA 94705
Phone (510) 644-2282

901 Campus Dr
Ste 214
Daly City, CA 94015
Phone (415) 785-4246

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1861579609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "#200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMELVENY",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A046337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A46337",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.