Individual provider Active NPI

Scott Andrew Kennedy Osmun, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1164623930
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0116015774 Issued in VA
Practice address
4001 Brandywine St NW Ste 300
Washington, DC 20016-1876
Phone
(202) 449-9570
Fax
(202) 449-9513
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0116015774 VA Primary

Addresses

Primary practice location

4001 Brandywine St NW Ste 300
Washington, DC 20016-1876

Mailing address

4001 Brandywine St NW
Ste 300
Washington, DC 20016-1876
Phone (202) 449-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080411000161 DC Practitioner - Obstetrics/Gynecology 9638256852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom OB GYN LLCGroup PAC ID 7810276623, 5 clinicians

Practice addresses (Care Compare)

4001 Brandywine St NW
Suite 300
Washington, DC 20016-1876
Phone (202) 449-9570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116015774VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom OB GYN, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4001 Brandywine St NW
Ste 300
Washington, DC 20016
Phone (202) 449-9570

Interoperability endpoints

  • Direct secure messaging: scott.osmun.1@14179.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1164623930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW",
            "address_2": "STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-449-9570",
            "fax_number": "202-449-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-449-9570",
            "fax_number": "202-449-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMUN",
        "first_name": "SCOTT",
        "middle_name": "ANDREW KENNEDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0116015774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.