Individual provider Active NPI

Oisin Aoghan O'Corragain, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1063968410
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT211828 Issued in PA
Practice address
310 S 12TH St
2R
Philadelphia, PA 19107-5934
Phone
(267) 512-4322
NPI assigned
Aug 26, 2016
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT211828 PA Primary

Addresses

Primary practice location

310 S 12TH St
2R
Philadelphia, PA 19107-5934

Mailing address

310 S 12TH St
Apt 2R
Philadelphia, PA 19107-5934
Phone (267) 512-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230711003416 VA Practitioner - Sleep Medicine 4385027564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Practice addresses (Care Compare)

159 Executive Dr
Suite F
Danville, VA 24541-4160
Phone (434) 792-4378

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211828PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC CurrentSince Aug 1, 2023 Accepting new patients
Danville Physician Practices LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

159 Executive Dr
Ste F
Danville, VA 24541
Phone (434) 792-4378

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: oisin.o.corragain.1@19847.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1063968410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 12TH ST",
            "address_2": "APT 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075934",
            "telephone_number": "267-512-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 12TH ST",
            "address_2": "2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075934",
            "telephone_number": "267-512-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CORRAGAIN",
        "first_name": "OISIN",
        "middle_name": "AOGHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT211828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.