SHOBIN OOMMEN (M.D.) – Psychiatry Physician, NPI 1205035383

SHOBIN OOMMEN (M.D.) is a healthcare provider. based in Stroudsburg, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD431442 (PA). The NPI Number for SHOBIN OOMMEN (M.D.) is 1205035383

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
SHOBIN OOMMEN (M.D.)
NPI
1205035383
Phone
(570) 424-6187
Address
1172 W MAIN ST STE B
Enumeration Date
17 July 2007
Last Update Date
14 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9177974421
Graduation Year
2001 (25 years ago)
PAC ID
6305937533
Professional Enrollment ID
I20081106000518
Address ID
NY117914507SY338XXTPKE301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,871 PSYCHIATRY in PA

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Provider Addresses for SHOBIN OOMMEN (M.D.)

  • West Main Street, Stroudsburg, Monroe County, Pennsylvania, 18360, United States

    STROUDSBURG, PA 183601329

    Phone: (570) 424-6187

    Fax: (570) 424-6271

    Mailing address matches the actual address.

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 $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Alkermes, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$29
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: 2008-11-06

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
I20081106000518IPsychiatryNYTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2,412324$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes367143$0
90792Psychiatric diagnostic evaluation with medical services135134$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes12965$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6044$0
View full utilization report →

Insurance plans in this area (ZIP 18360)

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Provider's Procedures

SHOBIN OOMMEN (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYPA90792Psychiatric diagnostic evaluation with medical services176171

Reviews

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Frequently asked questions

How do payers reference SHOBIN OOMMEN (M.D.)?
For SHOBIN OOMMEN (M.D.), use NPI 1205035383 as the unique 10-digit identifier.
Would SHOBIN OOMMEN (M.D.) appear as active to a payer?
You can treat SHOBIN OOMMEN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SHOBIN OOMMEN (M.D.)?
SHOBIN OOMMEN (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHOBIN OOMMEN (M.D.)?
Directory geography for SHOBIN OOMMEN (M.D.) centers on Stroudsburg, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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