Oseiwe Benjamin Eromosele, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1017123 Issued in MA

Practice address

801 Massachusetts Avenue
Suite 6a
Boston, MA 02118-2605

Phone

(617) 414-5405

Fax

(617) 414-9201

NPI assigned

May 6, 2021

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA, FL, TN, NY, NH5 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 5

Specialty

Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gainesville Health and Rehabilitation Nursing home, Gainesville, FL, CCN 105664

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oeromosele1372484@direct.hopkinsmedicine.org
• Direct secure messaging: oeromosele140445@direct.bmc.masshiway.net

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.

• Multiviz Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1720373293

  FL, NH, TN

  Medicare reassignment Care Compare group NPD
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD
• Evans Medical Foundation, Inc.

  dba Boston University Internal Medicine Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1912954124
  NPD
• Rockaway HD LLC

  dba Rockaway Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Far Rockaway, NY
  • NPI 1194085662
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gainesville FL Opco LLC

  • Skilled Nursing Facility
  • Gainesville, FL
  • NPI 1154954980

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1467036475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 6A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182605",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 E. Newton St",
            "address_2": "STE. 124",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "617-638-7253",
            "fax_number": "617-638-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EROMOSELE",
        "first_name": "OSEIWE",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1017123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110177615A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145442",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Francesca Ernst, CGC
• Logan Lee Ernst
• Huseyin Akin Erol, MD
• Nelia Erold, LICSW
• Ersne Eromo, MD
• Margaret Rose Errante, D.D.S.
• Alistair Robert Erskine, MD
• Hale Ersoy, M.D.
• Serpil Erturk
• Chukwuma Nnanyelu Eruchalu, BS

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.