Organization Active NPI

Oshi Health Medical Group, P.a.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1174287700
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
OSHI HEALTH MEDICAL GROUP, P.A.
Practice address
228 Park Ave S Ste 16389
New York, NY 10003-1502
Phone
(646) 876-8455
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Dr. Sameer Berry, MDNPI 1740636059
Title
Medical Doctor
Phone
(646) 876-8455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

228 Park Ave S Ste 16389
New York, NY 10003-1502

Mailing address

228 Park Ave S Ste 16389
New York, NY 10003-1502
Phone (646) 876-8455

Other practice location 1

2345 Rice St Ste 230
Roseville, MN 55113-3769
Phone (646) 876-8455

Other practice location 2

112 N Curry St
Carson City, NV 89703-4934
Phone (646) 876-8455

Other practice location 3

100 N Main St Ste 2
Barre, VT 05641-4150
Phone (646) 876-8455

Other practice location 4

100 Shockoe Slip Fl 2
Richmond, VA 23219-4100
Phone (646) 876-8455

Other practice location 5

37 N Orange Ave Ste 500
Orlando, FL 32801-2438
Phone (646) 876-8455

Other practice location 6

508 Meeting St
West Columbia, SC 29169-7535
Phone (646) 876-8455

Other practice location 7

222 Jefferson Blvd Ste 200
Warwick, RI 02888-3855
Phone (646) 876-8455

Other practice location 8

2908 Poston Ave
Nashville, TN 37203-1309
Phone (646) 876-8455

Other practice location 9

503 S Pierre St
Pierre, SD 57501-4522
Phone (646) 876-8455

Other practice location 10

2595 Interstate Dr Ste 103
Harrisburg, PA 17110-9378
Phone (646) 876-8455

Other practice location 11

1127 Broadway St NE Ste 310
Salem, OR 97301-1143
Phone (646) 876-8455

Other practice location 12

1090 Vermont Ave NW
Washington, DC 20005-4905
Phone (646) 876-8455

Other practice location 13

209 Washington St W
Charleston, WV 25302-2348
Phone (646) 876-8455

Other practice location 14

2 Sun Ct Ste 400
Peachtree Corners, GA 30092-2865
Phone (646) 876-8455

Other practice location 15

1305 12th Ave Rd
Nampa, ID 83686-6003
Phone (646) 876-8455

Other practice location 16

801 Adlai Stevenson Dr
Springfield, IL 62703-4261
Phone (646) 876-8455

Other practice location 17

251 Little Falls Dr
Wilmington, DE 19808-1674
Phone (646) 876-8455

Other practice location 18

1201 Hays St
Tallahassee, FL 32301-2699
Phone (646) 876-8455

Other practice location 19

300 S Spring St Ste 900
Little Rock, AR 72201-2425
Phone (646) 876-8455

Other practice location 20

8585 Old Dairy Rd Ste 208
Juneau, AK 99801-8094
Phone (646) 876-8455

Other practice location 21

8825 N 23rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone (646) 876-8455

Other practice location 22

1900 W Littleton Blvd
Littleton, CO 80120-2023
Phone (646) 876-8455

Other practice location 23

33 E Main St Ste 610
Madison, WI 53703-4655
Phone (646) 876-8455

Other practice location 24

1821 Logan Ave
Cheyenne, WY 82001-5007
Phone (646) 876-8455

Other practice location 25

1160 Dublin Rd Ste 400
Columbus, OH 43215-1052
Phone (646) 876-8455

Other practice location 26

3410 Belle Chase Way Ste 600
Lansing, MI 48911-4274
Phone (646) 876-8455

Other practice location 27

135 N Pennsylvania St Ste 1610
Indianapolis, IN 46204-2448
Phone (646) 876-8455

Other practice location 28

450 Laurel St Fl 8
Baton Rouge, LA 70801-1834
Phone (646) 876-8455

Other practice location 29

421 W Main St
Frankfort, KY 40601-1815
Phone (646) 876-8455

Other practice location 30

7 Saint Paul St Ste 820
Baltimore, MD 21202-1681
Phone (646) 876-8455

Other practice location 31

45 Memorial Cir
Augusta, ME 04330-6400
Phone (646) 876-8455

Other practice location 32

418 N 2nd St
Bismarck, ND 58501-3826
Phone (646) 876-8455

Other practice location 33

233 S 13th St Ste 1900
Lincoln, NE 68508-2000
Phone (646) 876-8455

Other practice location 34

10300 Greenbriar Pl
Oklahoma City, OK 73159-7653
Phone (646) 876-8455

Other practice location 35

10 Ferry St Ste 313
Concord, NH 03301-5004
Phone (646) 876-8455

Other practice location 36

110 E Broadway St
Hobbs, NM 88240-8424
Phone (646) 876-8455

Other practice location 37

221 Bolivar St
Jefferson City, MO 65101-1572
Phone (646) 876-8455

Other practice location 38

109 Executive Dr Ste 3
Madison, MS 39110-8497
Phone (646) 876-8455

Other practice location 39

26 W 6th Ave # 1691
Helena, MT 59601-5035
Phone (646) 876-8455

Other practice location 40

2626 Glenwood Ave Ste 550
Raleigh, NC 27608-1370
Phone (646) 876-8455

Other practice location 41

1003 Bishop St Ste 1600
Honolulu, HI 96813-6452
Phone (646) 876-8455

Other practice location 42

505 5th Ave Ste 729
Des Moines, IA 50309-2318
Phone (646) 876-8455

Other practice location 43

225 Asylum St Fl 20
Hartford, CT 06103-1532
Phone (646) 876-8455

Other practice location 44

300 Deschutes Way SW Ste 208
Tumwater, WA 98501-7719
Phone (646) 876-8455

Other practice location 45

641 S Lawrence St
Montgomery, AL 36104-5809
Phone (646) 876-8455

Other practice location 46

211 E 7th St Ste 620
Austin, TX 78701-3218
Phone (646) 876-8455

Other practice location 47

15 W South Temple Ste 600
Salt Lake City, UT 84101-1536
Phone (646) 876-8455

Other names 1

  • Integrated Digestive Partners, P.A. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250423002335 TX Part B Supplier - Clinic/Group Practice 9931643244 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX
O20250423003419 IL Part B Supplier - Clinic/Group Practice 9931643244 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, IL
O20250501000858 PA Part B Supplier - Clinic/Group Practice 9931643244 Receives reassigned benefits from 3 practitioners
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

251 Little Falls Dr
Wilmington, DE 19808
Phone (443) 347-4485

26 W 6th Ave
#1691
Helena, MT 59601

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

15 W South Temple
Ste 600
Slc, UT 84101
Phone 4155043838 ext. 9238

33 E Main St
Ste 610
Madison, WI 53703

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1174287700",
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        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Rice St Ste 230",
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            "fax_number": "833-314-0246",
            "country_name": "United States",
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            "postal_code": "897034934",
            "country_code": "US",
            "telephone_number": "646-876-8455",
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        },
        {
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            "country_name": "United States",
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        {
            "address_1": "100 Shockoe Slip Fl 2",
            "address_purpose": "LOCATION",
            "city": "Richmond",
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            "postal_code": "232194100",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 N Orange Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012438",
            "country_code": "US",
            "telephone_number": "646-876-8455",
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            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "508 Meeting St",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291697535",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Jefferson Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883855",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
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        {
            "address_1": "2908 Poston Ave",
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            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031309",
            "country_code": "US",
            "telephone_number": "646-876-8455",
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        },
        {
            "address_1": "503 S Pierre St",
            "address_purpose": "LOCATION",
            "city": "Pierre",
            "state": "SD",
            "postal_code": "575014522",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
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        },
        {
            "address_1": "1127 Broadway St NE Ste 310",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011143",
            "country_code": "US",
            "telephone_number": "646-876-8455",
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        {
            "address_1": "1090 Vermont Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200054905",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
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        {
            "address_1": "209 Washington St W",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253022348",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
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        {
            "address_1": "2 Sun Ct Ste 400",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300922865",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1305 12th Ave Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866003",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "801 Adlai Stevenson Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627034261",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "251 Little Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198081674",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Spring St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722012425",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8585 Old Dairy Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018094",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8825 N 23rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214148",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 W Littleton Blvd",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202023",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 E Main St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537034655",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Logan Ave",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015007",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Dublin Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151052",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Belle Chase Way Ste 600",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114274",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 N Pennsylvania St Ste 1610",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042448",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Laurel St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708011834",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 W Main St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406011815",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Saint Paul St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212021681",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Memorial Cir",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043306400",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585013826",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 S 13th St Ste 1900",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685082000",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Greenbriar Pl",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597653",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Ferry St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015004",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882408424",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Bolivar St",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651011572",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Executive Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391108497",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 W 6th Ave # 1691",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596015035",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Glenwood Ave Ste 550",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276081370",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Bishop St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968136452",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 5th Ave Ste 729",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503092318",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Asylum St Fl 20",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061031532",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Deschutes Way SW Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985017719",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 S Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361045809",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 E 7th St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013218",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W South Temple Ste 600",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841011536",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSHI HEALTH MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "646-876-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Digestive Partners, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.