Individual provider Active NPI

John M. Oscherwitz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
National Provider Identifier
1013994284
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01057694A Issued in IN
Practice address
2560 N. Shadeland Ave.
Suite a
Indianapolis, IN 46219-1706
Phone
(317) 275-8072
Fax
(317) 275-8018
NPI assigned
Dec 28, 2005
Last updated
May 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01057694A IN Primary

Addresses

Primary practice location

2560 N. Shadeland Ave.
Suite a
Indianapolis, IN 46219-1706

Mailing address

14275 Midway Rd
Sutie 400
Addison, TX 75001-3614
Phone (214) 932-8029

Other identifiers 3

IdentifierTypeStateIssuer
000000023132OtherINMPLAN
200427030AMedicaidIN
000000301321OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028000136 IL Practitioner - Pathology 6103979554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Cincinnati College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gopath Pathology Associates, SCGroup PAC ID 4688830151, 6 clinicians

Practice addresses (Care Compare)

1000 Corporate Grove Dr
Buffalo Grove, IL 60089-4550
Phone (224) 588-9940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057694AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gopath Pathology Associates, SC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Ameripath Indianapolis PC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Ameripath Kentucky Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1000 Corporate Grove Dr
Buffalo Grove, IL 60089
Phone (224) 588-9940

1351 Barclay Blvd
Buffalo Grove, IL 60089
Phone (224) 588-9940

1359 Barclay Blvd
Buffalo Grove, IL 60089

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1013994284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUTIE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 N. SHADELAND AVE.",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191706",
            "telephone_number": "317-275-8072",
            "fax_number": "317-275-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSCHERWITZ",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01057694A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN",
            "identifier": "000000023132",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200427030A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000301321",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.