Individual provider Active NPI

Edward S Oh, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1043311244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34433 Issued in AZ
Practice address
2800 E Ajo Way
Tucson, AZ 85713-6204
Phone
(520) 874-7400
Fax
(520) 874-3425
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34433 AZ Primary

Addresses

Primary practice location

2800 E Ajo Way
Tucson, AZ 85713-6204

Mailing address

575 E River Rd
Tucson, AZ 85704-5822
Phone (520) 874-7400

Other identifiers 1

IdentifierTypeStateIssuer
932587MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111011000104 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain Management 7719917129 Reassigns benefits to 2 organizations
I20230109000088 MD Practitioner - Diagnostic Radiology 7719917129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

201 Plumtree Rd
Suite 101
Bel Air, MD 21015-6055
Phone (410) 569-3640

Hospital & facility affiliations

  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Aug 8, 2022 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Past Accepting new patients

Locations

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

26999 Network Pl
Chicago, IL 60673

201 Plumtree Rd
Ste 101
Bel Air, MD 21015
Phone (410) 569-3640

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Interoperability endpoints

  • Direct secure messaging: eoh981454@direct.umm.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043311244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045822",
            "telephone_number": "520-874-7400",
            "fax_number": "520-874-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-874-7400",
            "fax_number": "520-874-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "EDWARD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "34433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932587",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.