JOSEPH A OOMMEN MD PLLC
NPI 1568755544
Psychiatry & Neurology - Neurology in Beaumont, TX

NPI Status: Active since May 24, 2011

Contact Information

3560 DELAWARE ST STE 1104
BEAUMONT, TX
ZIP 77706
Phone: (409) 347-8870

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Psychiatry & Neurology
Neurology
CLIA Number: 45D2040210
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 04-24-2026

About JOSEPH A OOMMEN MD PLLC

This page provides the complete NPI Profile along with additional information for Joseph A Oommen Md Pllc, a provider established in Beaumont, Texas operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1568755544 assigned on May 2011. The practitioner's primary taxonomy code is 2084N0400X with license number M7491 (TX). The provider is registered as an organization and their NPI record was last updated 3 years ago. Joseph A Oommen Md Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Joseph Anthony Oommen M.d. (Medical Director)

NPI: 1568755544
Provider Name: JOSEPH A OOMMEN MD PLLC
Entity Type: Organization
Location Address: 3560 DELAWARE ST STE 1104 BEAUMONT, TX 77706
Location Phone: (409) 347-8870
Mailing Address: 3560 DELAWARE ST STE 1104 BEAUMONT, TX 77706
Mailing Phone: (409) 347-8870
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-24-2011
Last Update Date: 09-12-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychiatry & Neurology Neurology
Taxonomy Code: 2084N0400X
Type: Allopathic & Osteopathic Physicians
License No.: M7491
License State: TX
Taxonomy Description: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	2084N0600X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Clinical Neurophysiology	M7491 (TX)
2	2084S0012X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Sleep Medicine	M7491 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. JOSEPH ANTHONY OOMMEN M.D.
Authorized Official Title: MEDICAL DIRECTOR
Authorized Official Phone: (409) 347-8870

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 45D2040210
Facility Type: Physician Office
Certificate Effective Date: April 25, 2024
Certificate Expiration Date: April 24, 2026
Laboratory Director: JOSEPH A. OOMMEN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Joseph A Oommen Md Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	6	8	7	5	5	5	4	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	12	8	14	5	10	5	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 5 + 1 + 0 + 5 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1568755544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

MSONTHI B, LEVINE, PA

Internal Medicine

(Geriatric Medicine)