Individual provider Active NPI

Martin George Ostro, M.D.

  • Allergy & Immunology Physician
  • Brookline, MA
National Provider Identifier
1467423848
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
42186 Issued in MA
Practice address
1101 Beacon St
Suite 7 East
Brookline, MA 02446-5540
Phone
(617) 734-2202
Fax
(617) 734-2408
NPI assigned
Feb 1, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 42186 MA Primary
Internal Medicine Physician 207R00000X 42186 MA

Addresses

Primary practice location

1101 Beacon St
Suite 7 East
Brookline, MA 02446-5540

Mailing address

1101 Beacon St
Suite 7 East
Brookline, MA 02446-5540
Phone (617) 734-2202

Other identifiers 1

IdentifierTypeStateIssuer
3015882MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040615000854 MA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8123002433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1101 Beacon St
Suite 701E
Brookline, MA 02446-5599
Phone (617) 734-2202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42186MAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Physicians LLC PastSince May 1, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: martin.ostro.1@17905.direct.athenahealth.com
  • Direct secure messaging: mostro378894@direct.bilh.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1467423848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST",
            "address_2": "SUITE 7 EAST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465540",
            "telephone_number": "617-734-2202",
            "fax_number": "617-734-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST",
            "address_2": "SUITE 7 EAST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465540",
            "telephone_number": "617-734-2202",
            "fax_number": "617-734-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRO",
        "first_name": "MARTIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "42186",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015882",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.