MISS ESHA ELIZABETH OOMMEN
NPI 1396001830
Internal Medicine - Pulmonary Disease in San Antonio, TX

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
51.85/100
CMS Quality Rating
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229(210) 690-7400(210) 690-7405 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2025, Jan 9, 2019 (2 updates tracked since 2019).

About Miss Esha Elizabeth Oommen NPPES

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

MISS ESHA ELIZABETH OOMMEN (NPI 1396001830) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (R9529) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1396001830
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMISS ESHA ELIZABETH OOMMEN
Location Address4458 MEDICAL DR STE 505San Antonio, TX 78229
Mailing Address4458 Medical Dr Ste 505San Antonio, TX 78229-3748 · (210) 690-7400 · Fax (210) 690-7405
Fax(210) 690-7405
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1396001830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · R9529
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License R9529 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License R9529 (TX)
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License R9529 (TX)
4458 MEDICAL DR STE 505, San Antonio, TX 78229

Secondary Practice Location 1

Location 172 East Concord Street Evans 124, Boston Medical CenterBoston, MA 02118 · Phone (617) 638-6513 · Fax (617) 638-6501

Accepted 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

Miss Esha Elizabeth Oommen 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 ID3678705688
PECOS Enrollment IDI20190131002570
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
715 services234 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
535 services221 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
129 services126 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
121 services118 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
76 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

51.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.95
Promoting Interoperability37
Improvement Activities20
Cost43.4

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers21 claims21 services$31.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$62.43 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$48.05 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$14.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers17 claims97 services$1.64 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
5 suppliers11 claims11 services$10.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Psychiatry & Neurology (Neurocritical Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229

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 Esha Oommen's NPI number?

The NPI number for Esha Oommen is 1396001830. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Esha Oommen located?

Esha Oommen practices at 4458 Medical Dr Ste 505, San Antonio, TX 78229. The listed phone number is (210) 690-7400.

What is Esha Oommen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Esha Oommen enrolled in Medicare?

Yes. Esha 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 Esha Oommen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Esha 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 Esha Oommen affiliated with any hospitals?

According to CMS data, Esha Oommen is affiliated with Peterson Regional Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Esha Oommen was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.