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TOBIN OOMMEN AGACNP-BC
NPI 1164169181
Nurse Practitioner - Acute Care in Houston, TX

Active since May 19, 2022PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6411 FANNIN ST, HOUSTON, TX 77030(713) 704-4000 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tobin Oommen Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOBIN OOMMEN AGACNP-BC (NPI 1164169181) is an individual acute care provider in Houston, Texas, licensed in Texas (1073118) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164169181
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTOBIN OOMMENCredential: AGACNP-BC
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address1250 Crestmont Place LoopMissouri City, TX 77489-1455 · (281) 546-7183
Phone(713) 704-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1164169181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1073118
6411 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tobin Oommen Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749669489
PECOS Enrollment IDI20220627000507
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HASHIM ZAIDI M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7878
DAVID BALTRUSAITIS MD
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 797-5929
CYNTHIA MARSHA DANIS RN
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
MR. MICHAEL KENNETH HOWZE JR.
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7160
STEPHEN M LARSON D.M.D.
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
STEPHEN G HECHT M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4060
VLADIMIR MELNIKOV M.D.
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
MRS. CAROL JEAN UNDERWOOD BSN RN CCRC
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tobin Oommen's NPI number?

The NPI number for Tobin Oommen is 1164169181. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Tobin Oommen located?

Tobin Oommen practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is Tobin Oommen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tobin Oommen enrolled in Medicare?

Yes. Tobin Oommen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tobin Oommen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tobin Oommen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tobin Oommen affiliated with any hospitals?

According to CMS data, Tobin Oommen is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Tobin Oommen was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.