NPIMap

Individual provider Active NPI

Ibitoro N Osakwe, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hartford, CT
National Provider Identifier
1245338474
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
220224 Issued in MA
Practice address
1075 Asylum Ave
Hartford, CT 06105-2455
Phone
(860) 714-4402
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 220224 MA Primary

Addresses

Primary practice location

1075 Asylum Ave
Hartford, CT 06105-2455

Mailing address

1075 Asylum Ave
Hartford, CT 06105-2455
Phone (860) 714-4402

Other practice location 1

444 Montgomery St
Chicopee, MA 01020-1969
Phone (860) 714-4402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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
I20040730000518 MA Practitioner - Endocrinology 8527038074 Reassigns benefits to 1 organization
I20230221002889 CT Practitioner - Endocrinology 8527038074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

1075 Asylum Ave
Hartford, CT 06105-2455
Phone (860) 714-4402

444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220224MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Aug 5, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 1, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2023 Accepting new patients
Riverbend Medical Group, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Aug 5, 2024 Accepting new patients
Mwa,PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1075 Asylum Ave
Hartford, CT 06105
Phone 86071427505

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • Direct secure messaging: iosakwe2997944@direct.trinity-health.org

Organizations & group practices 5

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 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1245338474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052455",
            "telephone_number": "860-714-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052455",
            "telephone_number": "860-714-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Montgomery St",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010201969",
            "country_code": "US",
            "telephone_number": "860-714-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSAKWE",
        "first_name": "IBITORO",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "220224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.