Individual provider Active NPI

Michael G Osofsky, MD

  • Dermatology Physician
  • Coraopolis, PA
National Provider Identifier
1376706945
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD464653 Issued in PA
Practice address
500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749
Phone
(412) 262-1064
Fax
(412) 262-3904
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD464653 PA Primary

Addresses

Primary practice location

500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749

Mailing address

500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749
Phone (412) 262-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180725001792 PA Practitioner - Dermatology 4688861156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Western Pennsylvania IncGroup PAC ID 6709029630, 4 clinicians

Practice addresses (Care Compare)

500 Cherrington Pkwy
Suite 410
Coraopolis, PA 15108-4749
Phone (412) 262-1064

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as individual
Quality
88.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions648
Removal or shaving of skin growth12
Skin biopsy135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Western Pennsylvania Inc. Dermatology CurrentSince Aug 1, 2018 Accepting new patients
Dermatology Associates of Western Pennsylvania Inc. Dermatology CurrentSince Jan 19, 2020 Accepting new patients

Locations

500 Cherrington Pkwy
Ste 410
Coraopolis, PA 15108
Phone (412) 262-1064

Organizations & group practices 3

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 3

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1376706945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY STE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084749",
            "telephone_number": "412-262-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY STE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084749",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOFSKY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD464653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.