NAYOMI ELLEN OMURA (MD) – Dermatology Physician, NPI 1710936612

NAYOMI ELLEN OMURA (MD) is a healthcare provider. based in Palm beach gardens, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME85895 (FL). The NPI Number for NAYOMI ELLEN OMURA (MD) is 1710936612

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
NAYOMI ELLEN OMURA (MD)
NPI
1710936612
Phone
(561) 694-9493
Address
600 VILLAGE SQUARE XING
Enumeration Date
8 May 2006
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
2392164337
Graduation Year
1996 (30 years ago)
PAC ID
4486843422
Group Practice PAC ID
1153390414
Professional Enrollment ID
I20110106000811
Address ID
FL341026258NA261XXSXXX400

Contacts

Secure Messaging
nomura@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,366 DERMATOLOGY in FL

Provider Addresses for NAYOMI ELLEN OMURA (MD)

  • 600 VILLAGE SQUARE XING

    PALM BEACH GARDENS, FL 334104542

    Phone: (561) 694-9493

    Type: Mailing

  • 2601 S KANNER HWY

    STUART, FL 349944622

    Phone: (772) 219-2777

    Fax: (772) 219-0017

    Type: Location

  • 440, Southeast Osceola Street, Stuart, Martin County, Florida, 34994, United States

    STUART, FL 349942577

    Phone: (772) 219-2777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 185 Open Payments records for all available years, with a total value of $3,951.

Total Amount is formed as General ($3,951) + Research ($0) + Ownership ($0) = $3,951.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($727).

Total Amount

$3,951

General + Research + Ownership

Payments

185

Total payment records

General Amount

$3,951

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-01-06

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
I20110106000811IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths3,746636$0
99213Established patient office or other outpatient visit, 20-29 minutes1,9971,373$0
17000Destruction of precancer skin growth, 1 growth1,156851$0
17110Destruction of skin growth, 1-14 growths628523$0
11102Biopsy of related skin growth, first growth465380$0
View full utilization report →

Insurance plans in this area (ZIP 33410)

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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: 1153390414View full group profile
NameSpecialtyState
General SurgeryFL
D E R M A T O L O G YFL
Physician AssistantFL
-FL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Nurse PractitionerFL
D E R M A T O L O G YFL
Physician AssistantFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What is the registry number for NAYOMI ELLEN OMURA (MD)?
The registry entry for NAYOMI ELLEN OMURA (MD) shows NPI 1710936612.
Quick check: is NAYOMI ELLEN OMURA (MD) active?
Public NPPES data shows NAYOMI ELLEN OMURA (MD) with an active NPI status right now.
What type of care does NAYOMI ELLEN OMURA (MD) provide?
NAYOMI ELLEN OMURA (MD)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NAYOMI ELLEN OMURA (MD) in Palm Beach Gardens, Florida?
For routing, start with Palm Beach Gardens, Florida for NAYOMI ELLEN OMURA (MD), then verify phone and hours locally.
Why is information missing for NAYOMI ELLEN OMURA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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