DR. RONNIE TOM OOMMEN MD
NPI 1548581887
Hospitalist in Albany, NY

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
600 NORTHERN BLVD, ALBANY, NY 12204(518) 471-3221 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 16, 2023, May 21, 2021, Apr 5, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Ronnie Tom Oommen Md NPPES

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

DR. RONNIE TOM OOMMEN MD (NPI 1548581887) is an individual hospitalist provider in Albany, New York, licensed in New York (285666) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1548581887
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RONNIE TOM OOMMENCredential: MD
Location Address600 NORTHERN BLVDAlbany, NY 12204
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 22, 2010
Last NPPES UpdateAugust 16, 20235 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1548581887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 285666
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4046563913 (GA)
600 NORTHERN BLVD, Albany, NY 12204

Secondary Practice Locations 4

Location 11980 Crompond RdCortlandt Manor, NY 10567-4144 · Phone (914) 743-3600 · Fax (914) 743-3601
Location 2315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550
Location 32215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300
Location 42 Empire Dr Ste 100Rensselaer, NY 12144-5730 · Phone (518) 286-4899

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ronnie Tom Oommen Md 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 ID8325289077
PECOS Enrollment IDI20161216001599
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 Reassignments

6

Medicare enrollment records show Ronnie Oommen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
63 SHAKER RD STE 202, CAPITAL REGION UROLOGY
Albany, NY 12204
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
Obstetrics & Gynecology
326 SOUTH PEARL STREET
Albany, NY 12202
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
General Acute Care Hospital
1270 BELMONT AVENUE
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 105 clinicians in this Medicare group
Multi-Specialty
2827 US ROUTE 9
Valatie, NY 12184
  • Reassigned Medicare billing, New York enrollment
  • 215 clinicians in this Medicare group
Emergency Medicine
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 65 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

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.
76 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12204 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%106 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$11.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$64.40 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$36.35 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.

Occupational Therapist
600 NORTHERN BLVD
ALBANY, NY 12204
Occupational Therapist
600 NORTHERN BLVD
ALBANY, NY 12204
Emergency Medicine
600 NORTHERN BLVD
ALBANY, NY 12204
Physician Assistant
600 NORTHERN BLVD
ALBANY, NY 12204
Registered Nurse (Diabetes Educator)
600 NORTHERN BLVD
ALBANY, NY 12204
Nurse Practitioner (Family)
600 NORTHERN BLVD
ALBANY, NY 12204
Emergency Medicine
600 NORTHERN BLVD
ALBANY, NY 12204
Dietitian, Registered
600 NORTHERN BLVD
ALBANY, NY 12204

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 Ronnie Oommen's NPI number?

The NPI number for Ronnie Oommen is 1548581887. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Ronnie Oommen located?

Ronnie Oommen practices at 600 Northern Blvd, Albany, NY 12204. The listed phone number is (518) 471-3221.

What is Ronnie Oommen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ronnie Oommen enrolled in Medicare?

Yes. Ronnie 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.

Which organizations bill Medicare for Ronnie Oommen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronnie Oommen reassigns Medicare benefits to 6 organizations: St. Peter's Health Partners Medical Associates, P.C. (Albany, NY), St. Peter's Hospitalof The City Of Albany (Albany, NY), Samaritan Hospital Of Troy, New York (Troy, NY), Sunnyview Hospital And Rehabilitation Center (Schenectady, NY), Columbia Memorial Hospital (Valatie, NY) and 1 more organization, listed in the Medicare section above. Each 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 Ronnie Oommen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ronnie Oommen affiliated with any hospitals?

According to CMS data, Ronnie Oommen is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Ronnie Oommen was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.