Omni Medical Group LLC
NPI 1568768042 · Clinic/Center · Albuquerque, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Omni Medical Group LLC is a Clinic/Center organization in Albuquerque, NM (NPI 1568768042).
Provider details
- NPI number
- 1568768042
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olena Dziuba, Cfo(505) 573-2495
- License
- 6556 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Clinica La Esperanza
Registry dates
- Enumerated
- 2011-02-01
- Last updated
- 2015-01-19
Frequently asked questions
- What is Omni Medical Group LLC's NPI number?
- Omni Medical Group LLC's National Provider Identifier (NPI) is 1568768042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Omni Medical Group LLC?
- Omni Medical Group LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Omni Medical Group LLC located?
- Omni Medical Group LLC's practice location on file with NPPES is 4201 Central Ave Nw, Albuquerque, NM 87105-1630.
- What is Omni Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Omni Medical Group LLC is (505) 717-1685.
- Does Omni Medical Group LLC accept Medicare?
- Omni Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Omni Medical Group LLC?
- The authorized official listed on Omni Medical Group LLC's NPPES record is Olena Dziuba, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Omni Medical Group LLC's NPI active?
- Yes — Omni Medical Group LLC's NPI (1568768042) is active in the NPPES registry as of the last update on 2015-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.