Individual provider Active NPI

Etin-Osa Osa

  • Radiation Oncology Physician
  • Nashua, NH
National Provider Identifier
1346475407
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
16522 Issued in NH
Practice address
11 N Southwood Dr
Nashua, NH 03063-1803
Phone
(603) 880-1590
NPI assigned
May 19, 2009
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 16522 NH Primary

Addresses

Primary practice location

11 N Southwood Dr
Nashua, NH 03063-1803

Mailing address

11 N Southwood Dr
Nashua, NH 03063-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140908001484 MA Practitioner - Radiation Oncology 3173742079 Reassigns benefits to 1 organization
I20140911001355 NH Practitioner - Radiation Oncology 3173742079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
New York University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology Associates, PAGroup PAC ID 0840276838, 23 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-1800

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4102

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 934-8457

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, PA Radiation Oncology CurrentSince Aug 1, 2014 Accepting new patients
Nashua Regional Cancer Center Inc Radiation Oncology Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

11 N Southwood Dr
Nashua, NH 03063
Phone (603) 880-1590

121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1346475407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N SOUTHWOOD DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N SOUTHWOOD DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631803",
            "telephone_number": "603-880-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSA",
        "first_name": "ETIN-OSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NH",
            "license": "16522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.