Suma Oommen, MD - Medicare Internal Medicine in Lake Forest, CA

Suma Oommen, MD is a medicare enrolled "Internal Medicine" physician in Lake Forest, California. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Pacific Private Practice Network Inc and her current practice location is 24432 Muirlands Blvd Ste 219, Lake Forest, California. You can reach out to her office (for appointments etc.) via phone at (949) 852-9038.

Suma Oommen is licensed to practice in California (license number A75861) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063431203.

Contact Information

Suma Oommen, MD
24432 Muirlands Blvd Ste 219,
Lake Forest, CA 92630-3939
(949) 852-9038
Not Available

Map and Direction




Physician's Profile

Full NameSuma Oommen
GenderFemale
SpecialityInternal Medicine
Experience33 Years
Location24432 Muirlands Blvd Ste 219, Lake Forest, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Suma Oommen graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1063431203
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 01/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547339814
  • Enrollment ID: I20080513000695

Medical Identifiers

Medical identifiers for Suma Oommen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063431203NPI-NPPES
00A758610MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A75861 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Companion Home HealthOrange, CAHome health agency
Hoag Memorial Hospital PresbyterianNewport beach, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suma Oommen allows following entities to bill medicare on her behalf.
Entity NameSuma Oommen Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578733465
PECOS PAC ID: 6800965179
Enrollment ID: O20080513000702
Entity NamePacific Private Practice Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033501077
PECOS PAC ID: 1254659261
Enrollment ID: O20150422001711

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suma Oommen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suma Oommen, MD
24432 Muirlands Blvd, Ste 219,
Lake Forest, CA 92630-3939

Ph: (949) 852-9038
Suma Oommen, MD
24432 Muirlands Blvd Ste 219,
Lake Forest, CA 92630-3939

Ph: (949) 852-9038

Reviews and Comments


Internal Medicine Doctors in Lake Forest, CA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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