Individual provider Active NPI

Edinrin Rae Obasare, MD

  • Clinical Cardiac Electrophysiology Physician
  • Auburn, NY
National Provider Identifier
1093027278
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
270955 Issued in NY
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 255-7011
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 270955 NY Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

17 Lansing St
Auburn, NY 13021-1983

Other names 1

  • Edinrin Rae Obasare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240905000039 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 6507091493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127612CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampshire Pathologists, Inc. Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Auburn Memorial Medical Services, PC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Auburn Community Hospital CurrentSince Jul 22, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 22, 2024 Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
Auburn Community Hospital Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
Montage Medical Group Internal Medicine CurrentSince Aug 8, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123

30 Garden Ct
Ste B
Monterey, CA 93940
Phone (831) 647-1123

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

146 Federal St
Greenfield, MA 01301
Phone (413) 774-2222

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

22 Atwood Dr
Fl 3
Northampton, MA 01060
Phone (413) 582-1847

50 Maple St
Springfield, MA 01103
Phone (413) 748-6484

65 Springfield Rd
Ste 1
Westfield, MA 01085
Phone (413) 642-8052

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

17 Lansing St
Ste 302
Auburn, NY 13021
Phone (315) 567-0540

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA
  • Direct secure messaging: eobasare396504@direct.ynhh.org

Organizations & group practices 11

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": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1093027278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASARE",
        "first_name": "EDINRIN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "270955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDINRIN",
            "last_name": "OBASARE",
            "middle_name": "RAE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.