Active NPI
Jacob Patrick Ossoff, M.D.
- Otolaryngology Physician
- Lugoff, SC
National Provider Identifier
1073958989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD52317
- Practice address
- 15 Exchange Dr
Lugoff, SC 29078-9198 - Phone
- (803) 408-3277
- NPI assigned
- May 6, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD52317 | SC | Primary |
Addresses
Primary practice location
15 Exchange Dr
Lugoff, SC 29078-9198
Mailing address
15 Exchange Dr
Lugoff, SC 29078-9198
Phone (803) 408-3277
Other practice location 1
110 Highland Center Drive
Columbia, SC 29203
Phone (803) 736-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 523179 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SCENT@allmedsdirectmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3501 N Scottsdale Rd
Suite 160
Scottsdale, AZ 85251-5632
Phone (480) 273-8448
9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD52317 | SC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley ENT, PC | Otolaryngology | Past | Accepting new patients |
| Northern Arizona Ear Nose and Throat PC | Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- scent@allmedsdirectmail.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.
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
-
- Otolaryngology Physician
- Flagstaff, AZ
- NPI 1558449900
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1770852600
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1073958989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 EXCHANGE DR",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789198",
"telephone_number": "803-408-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 EXCHANGE DR",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789198",
"telephone_number": "803-408-3277"
}
],
"practiceLocations": [
{
"address_1": "110 Highland Center Drive",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-736-3277",
"fax_number": "803-865-2301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSSOFF",
"first_name": "JACOB",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "MD52317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "523179",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SCENT@allmedsdirectmail.com",
"affiliation": "N",
"address_1": "15 Exchange Dr",
"city": "Lugoff",
"state": "SC",
"country_code": "US",
"postal_code": "290789198",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lugoff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.