DR. BIJU OOMMEN M.D.
NPI 1801856240
Internal Medicine - Geriatric Medicine in Houston, TX

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
2626 S LOOP W STE 265, HOUSTON, TX 77054(281) 389-0366 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Jun 20, 2017 (2 updates tracked since 2017).

About Dr. Biju Oommen M.d. NPPES

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

DR. BIJU OOMMEN M.D. (NPI 1801856240) is an individual geriatric medicine provider in Houston, Texas, licensed in Texas (L5863) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1801856240
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. BIJU OOMMENCredential: M.D.
Location Address2626 S LOOP W STE 265Houston, TX 77054-5636
Mailing AddressPo Box 650998Dallas, TX 75265-0998 · (281) 389-0366
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 27, 2006
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
NPI 1801856240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in TX · L5863
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2626 S LOOP W STE 265, Houston, TX 77054

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

Dr. Biju Oommen M.d. 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 ID3577575620
PECOS Enrollment IDI20070510000531
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 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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
47 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services34 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
31 services26 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims779 services$7.07 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
4 suppliers15 claims15 services$68.38 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
5 suppliers33 claims33 services$16.08 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$26.21 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers15 claims15 services$6.35 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.

Nurse Practitioner (Family)
2626 S LOOP W STE 265
HOUSTON, TX 77054
Internal Medicine
2626 S LOOP W STE 265
HOUSTON, TX 77054
Internal Medicine
2626 S LOOP W STE 265
HOUSTON, TX 77054
Nurse Practitioner (Adult Health)
2626 S LOOP W STE 265
HOUSTON, TX 77054
Internal Medicine (Geriatric Medicine)
2626 S LOOP W STE 265
HOUSTON, TX 77054
Nurse Practitioner (Family)
2626 S LOOP W STE 265
HOUSTON, TX 77054
Nurse Practitioner (Acute Care)
2626 S LOOP W STE 265
HOUSTON, TX 77054
Internal Medicine (Geriatric Medicine)
2626 S LOOP W STE 265
HOUSTON, TX 77054

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 Biju Oommen's NPI number?

The NPI number for Biju Oommen is 1801856240. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Biju Oommen located?

Biju Oommen practices at 2626 S Loop W Ste 265, Houston, TX 77054. The listed phone number is (281) 389-0366.

What is Biju Oommen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Biju Oommen enrolled in Medicare?

Yes. Biju 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 Biju Oommen accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company, UnitedHealthcare and WellPoint list Biju 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.

When was this NPI record last updated?

The NPPES record for Biju Oommen was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.