Active NPI
Osaguona Osa, MD
- Internal Medicine Physician
- Shelby, NC
National Provider Identifier
1043300858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2005-01139
- Practice address
- 201 E Grover St
Shelby, NC 28150-3917 - Phone
- (980) 487-3678
- Fax
- (980) 487-2222
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2005-01139 | NC | |
| Internal Medicine Physician | 207R00000X | 2005-01139 | NC | Primary |
| Hospitalist Physician | 208M00000X | 2005-01139 | NC |
Addresses
Primary practice location
201 E Grover St
Shelby, NC 28150-3917
Mailing address
PO Box 601884
Charlotte, NC 28260-1884
Phone (980) 487-3678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NUP361 | Medicaid | SC | |
| 5901437 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000954 | GA | Practitioner - Internal Medicine | 0143250209 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
- Adventhealth Redmond
- Adventhealth Gordon
- Adventhealth Murray
- Atrium Health Floyd Medical Center
- Atrium Health Floyd Polk Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01139 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services LLC | Hospitalist | Past | Accepting new patients |
| Dekalb Medical Hospitalists LLC | Hospitalist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
GA
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
Hospital
-
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1043300858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601884",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601884",
"telephone_number": "980-487-3678",
"fax_number": "980-487-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503917",
"telephone_number": "980-487-3678",
"fax_number": "980-487-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSA",
"first_name": "OSAGUONA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2005-01139",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2005-01139",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2005-01139",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NUP361",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901437",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.