MATHEW OOMMEN (MD) – Urology Physician, NPI 1467406140

MATHEW OOMMEN (MD) is a healthcare provider. based in Lakeland, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 20273 (ND). The NPI Number for MATHEW OOMMEN (MD) is 1467406140

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MATHEW OOMMEN (MD)
NPI
1467406140
Phone
(863) 680-7000
Address
1600 Lakeland Hills Blvd
Enumeration Date
19 May 2006
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7014188000
Graduation Year
2000 (26 years ago)
PAC ID
5991760936
Group Practice PAC ID
7911816020
Professional Enrollment ID
I20231106002298
Address ID
ND587017669MI2305XSWXX400

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Secure Messaging
moommen18465@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

897 UROLOGY in FL

Provider Addresses for MATHEW OOMMEN (MD)

  • 1600 Lakeland Hills Blvd

    Lakeland, FL 338053019

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Location

  • 1812 N Mills Ave

    Orlando, FL 328031834

    Phone: (407) 897-3499

    Fax: (407) 956-3373

    Type: Location

  • PO BOX 5010

    MINOT, ND 587025010

    Phone: (701) 418-8000

    Type: Mailing

  • 2305 37TH AVE SW

    MINOT, ND 587017669

    Phone: (701) 418-7200

    Fax: (701) 418-7201

    Type: Location

  • 1812, Mills Avenue, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328031834

    Phone: (407) 897-3499

    Fax: (407) 956-3373

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Integra LifeSciences Corporation ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2023-11-06

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
I20231106002298IUrologyNDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
52000Diagnostic exam of bladder and urethra using an endoscope3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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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: 7911816020View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ND
-ND
-ND
Nurse PractitionerND
-ND
O P T O M E T R YND
Nurse PractitionerND
Nurse PractitionerND
-CT
Nurse PractitionerND

Reviews

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Frequently asked questions

Does MATHEW OOMMEN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MATHEW OOMMEN (MD) uses 1467406140.
Can I rely on MATHEW OOMMEN (MD) being an active provider?
As of the registry snapshot, MATHEW OOMMEN (MD) is marked active.
What is MATHEW OOMMEN (MD)'s specialty?
The listing groups MATHEW OOMMEN (MD) with Urology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MATHEW OOMMEN (MD)?
MATHEW OOMMEN (MD)'s geographic hint is Lakeland, Florida in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.