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NINVEH OMLIN D.P.M.
NPI 1245526326
Podiatrist - Foot & Ankle Surgery in Vallejo, CA

Active since June 27, 2011PECOS Enrolled
975 SERENO DR, VALLEJO, CA 94589(707) 651-5033(707) 651-3685 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ninveh Omlin D.p.m. NPPES

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

NINVEH OMLIN D.P.M. (NPI 1245526326) is an individual foot & ankle surgery provider in Vallejo, California, licensed in California (E5107) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245526326
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameNINVEH OMLINCredential: D.P.M.
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address975 Sereno DrVallejo, CA 94589-2441 · (707) 651-5033
Phone(707) 651-5033
Fax(707) 651-3685
Sole ProprietorNo
Enumeration DateJune 27, 2011
Last NPPES UpdateDecember 15, 2021
✔ NPI 1245526326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5107
975 SERENO DR, Vallejo, CA 94589
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ninveh Omlin D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ninveh Omlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
0.1 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Carolyn ***** January 24, 2024

5/5
So impressed with how she completely re built my foot. 2 other foot docs only suggested to cut my toe off. She knew she could save my toe. My foot now looks like a normal foot. Forever grateful for her art.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Ninveh Omlin's NPI number?

The NPI number for Ninveh Omlin is 1245526326. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Ninveh Omlin located?

Ninveh Omlin practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-5033.

What is Ninveh Omlin's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ninveh Omlin enrolled in Medicare?

Yes. Ninveh Omlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ninveh Omlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ninveh Omlin reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ninveh Omlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ninveh Omlin was last updated on December 15, 2021. 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.