NPIMap

Individual provider Active NPI

Osamudiamen Idahosa, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Bethlehem, PA
National Provider Identifier
1174729784
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD432354 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-3285
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD432354 PA Primary
Internal Medicine Physician 207R00000X MT183290 PA

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

211 Chestnut LN
North Wales, PA 19454-1303
Phone (267) 481-4905

Other identifiers 6

IdentifierTypeStateIssuer
1754246OtherNJAETNA - HMO
338072OtherNJAMERIGROUP
91002708400OtherNJAMERICHOICE
P00620721OtherNJRR MEDICARE
9031110OtherNJAENTA - PPO
0144436MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071106000331 NJ Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5799872826 Reassigns benefits to 1 organization
I20120710000109 PA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5799872826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT183290PAMDInternal Medicine Physician
MD432354PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 13, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jun 1, 2012 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 1, 2012 Accepting new patients
Critical Care Physicians of Pennsylvania PC Critical Care Medicine CurrentSince Dec 1, 2012 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 13, 2022 Accepting new patients
Temple Physicians Inc CurrentSince Feb 1, 2016 Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: osamudiamen.idahosa@slpg.direct-sluhn.org

Organizations & group practices 10

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 10

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1174729784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHESTNUT LN",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541303",
            "telephone_number": "267-481-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDAHOSA",
        "first_name": "OSAMUDIAMEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD432354",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT183290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "1754246",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "338072",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91002708400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00620721",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA - PPO",
            "identifier": "9031110",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144436",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.