OMARI OWENS (DPM) – Podiatrist, NPI 1154908937

OMARI OWENS (DPM) is a healthcare provider. based in St augustine, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4602 (FL). The NPI Number for OMARI OWENS (DPM) is 1154908937

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
OMARI OWENS (DPM)
NPI
1154908937
Phone
(904) 823-3301
Address
6 SAINT JOHNS MEDICAL PARK DR
Enumeration Date
26 March 2021
Last Update Date
6 December 2024

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9043230954
Graduation Year
2021 (5 years ago)
PAC ID
0749728871
Group Practice PAC ID
3870892805
Professional Enrollment ID
I20240820002113
Address ID
FL322184897JA1215XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for OMARI OWENS (DPM)

  • 6 SAINT JOHNS MEDICAL PARK DR

    ST AUGUSTINE, FL 320865298

    Phone: (904) 823-3301

    Type: Mailing

  • 834 CLEMSON AVE

    FAIRVIEW HEIGHTS, IL 622083926

    Phone: (618) 960-5645

    Type: Mailing

  • 12303 DE PAUL DR # 705

    BRIDGETON, MO 630442512

    Phone: (314) 344-7545

    Fax: (314) 344-7258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Kerecis Limited ($141).

Total Amount

$463

General + Research + Ownership

Payments

10

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240820002113IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870892805View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
P O D I A T R YNJ
Nurse PractitionerFL
Nurse PractitionerFL
P O D I A T R YNJ
P O D I A T R YNY
P O D I A T R YFL

Reviews

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Frequently asked questions

How is OMARI OWENS (DPM) identified in CMS data?
CMS-hosted NPPES data lists OMARI OWENS (DPM) with NPI 1154908937.
Does CMS list OMARI OWENS (DPM) as active?
Yes — OMARI OWENS (DPM) is active in the NPI listing used on this page.
What taxonomy line describes OMARI OWENS (DPM)?
For research purposes, treat OMARI OWENS (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect OMARI OWENS (DPM) on a map?
Expect St Augustine, Florida as a primary anchor for OMARI OWENS (DPM) unless the record lists multiple sites.
Is the information about OMARI OWENS (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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