Individual provider Active NPI

Shormeh Yeboah Otsin, MD

  • Family Medicine Physician
  • Springfield, PA
National Provider Identifier
1144455874
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD445351 Issued in PA
Practice address
905 W Sproul Rd Ste 100
Springfield, PA 19064-1254
Phone
(610) 690-1776
Fax
(610) 690-1777
NPI assigned
May 26, 2009
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD445351 PA Primary

Addresses

Primary practice location

905 W Sproul Rd Ste 100
Springfield, PA 19064-1254

Mailing address

905 W Sproul Rd Ste 100
Springfield, PA 19064-1254
Phone (610) 690-1776

Other practice location 1

1501 Lansdowne Ave Fl 1
Darby, PA 19023-1333
Phone (610) 534-6310

Other names 1

  • Shormeh Odofoley Yeboah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120614000577 PA Practitioner - Family Practice 8123282589 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 Lansdowne Ave
FL 1
Darby, PA 19023-1333
Phone (610) 534-6310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD445351PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince May 1, 2015 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince Oct 26, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 9, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 26, 2020 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 9, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1501 Lansdowne Ave
Fl 1
Darby, PA 19023
Phone (610) 237-2531

818 Macdade Blvd
Milmont Park, PA 19033
Phone (610) 532-2618

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3737 Market St
Fl 9
Philadelphia, PA 19104
Phone (215) 294-9284

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: shormeh.otsin@chpm.cernerdirect.com
  • Direct secure messaging: sotsin4554993@direct.trinity-health.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1144455874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W SPROUL RD STE 100",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641254",
            "telephone_number": "610-690-1776",
            "fax_number": "610-690-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W SPROUL RD STE 100",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641254",
            "telephone_number": "610-690-1776",
            "fax_number": "610-690-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Lansdowne Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTSIN",
        "first_name": "SHORMEH",
        "middle_name": "YEBOAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD445351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHORMEH",
            "last_name": "YEBOAH",
            "middle_name": "ODOFOLEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.