Individual provider Active NPI

Eric A. Osborn, M.D., PH.D.

  • Interventional Cardiology Physician
  • Boston, MA
National Provider Identifier
1548445240
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
235049 Issued in MA
Practice address
330 Brookline Avenue, Baker 4
Beth Israel Deaconess Medical Center, Cardiology Div.
Boston, MA 02215-5400
Phone
(617) 632-7452
Fax
(617) 632-7370
NPI assigned
Jan 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 228397 MA
Interventional Cardiology Physician 207RI0011X 235049 MA Primary
Cardiovascular Disease Physician 207RC0000X 235049 MA
Internal Medicine Physician 207R00000X 235049 MA

Addresses

Primary practice location

330 Brookline Avenue, Baker 4
Beth Israel Deaconess Medical Center, Cardiology Div.
Boston, MA 02215-5400

Mailing address

330 Brookline Avenue, Baker 4
Beth Israel Deaconess Medical Center, Cardiology Div.
Boston, MA 02215-5400
Phone (617) 632-7452

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
I20090309000144 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Other (Physician) 0749346229 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Harvard Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088

1000 Broadway
Chelsea, MA 02150-2247
Phone (781) 983-9088

148 Chestnut St
Needham, MA 02492-2505
Phone (781) 983-9088

200 Boylston St
Chestnut Hill, MA 02467-2012
Phone (781) 983-9088

275 Sandwich St
Plymouth, MA 02360-2183
Phone (781) 983-9088

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

482 Bedford St
Lexington, MA 02420-1402
Phone (781) 983-9088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228397MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 26, 2013 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 26, 2013 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Aug 26, 2013 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 26, 2013 Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients

Locations

330 Brookline Ave
#4
Boston, MA 02215
Phone (617) 667-1282

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

Interoperability endpoints

  • Direct secure messaging: eosborn35997@direct.bilh.masshiway.net

Organizations & group practices 7

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": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1548445240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVENUE, BAKER 4",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER, CARDIOLOGY DIV.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-632-7452",
            "fax_number": "617-632-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVENUE, BAKER 4",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER, CARDIOLOGY DIV.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-632-7452",
            "fax_number": "617-632-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "ERIC",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-01",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228397",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "235049",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "235049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "235049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.