NPIMap

Individual provider Active NPI

Dagmara Osmanska-Jac, M.D

  • Internal Medicine Physician
  • Chelmsford, MA
National Provider Identifier
1053413138
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238055 Issued in MA
Practice address
290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429
Phone
(978) 685-2460
NPI assigned
Sep 1, 2006
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1892 TX
Internal Medicine Physician 207R00000X 238055 MA Primary

Addresses

Primary practice location

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429

Mailing address

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

Other identifiers 1

IdentifierTypeStateIssuer
110081539AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081212000213 MA Practitioner - Internal Medicine 7113088824 Reassigns benefits to 3 organizations
I20231222001692 NH Practitioner - Internal Medicine 7113088824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Community Medical Services PLLCGroup PAC ID 8628102928, 53 clinicians

Practice addresses (Care Compare)

23 Geremonty Dr
Salem, NH 03079-3314
Phone (978) 685-2460

290 Littleton Rd
Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1892TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence General Community Medical Service PLLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
New England Community Medical Services PLLC Internal Medicine CurrentSince Jun 6, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Mar 22, 2017 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Mar 22, 2017 Accepting new patients
Encompass Health Rehabilitation Hospital of New England, LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of Braintree, LLC Past Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 254-4983

400 Bolton St
Marlborough, MA 01752
Phone (508) 481-6123

67 Union St
Natick, MA 01760
Phone (508) 383-1104

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

23 Geremonty Dr
Salem, NH 03079
Phone (603) 893-5586

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1053413138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429",
            "telephone_number": "978-685-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429",
            "telephone_number": "978-685-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMANSKA-JAC",
        "first_name": "DAGMARA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1892",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "238055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110081539A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.