Individual provider Active NPI

Elizabeth A. Otmaskin, D.O.

  • Obstetrics & Gynecology Physician
  • Springfield, MA
National Provider Identifier
1659799161
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
274604 Issued in MA
Practice address
3455 Main Street Suite C
Baysttate OB GYN Group Inc
Springfield, MA 01107
Phone
(413) 794-8484
Fax
(413) 794-8477
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 274604 MA Primary

Addresses

Primary practice location

3455 Main Street Suite C
Baysttate OB GYN Group Inc
Springfield, MA 01107

Mailing address

3455 Main St Ste C
Springfield, MA 01107-1187
Phone (413) 794-8484

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
I20180801002593 MA Practitioner - Obstetrics/Gynecology 8426274283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate OB/GYN Group IncGroup PAC ID 1153392659, 20 clinicians

Practice addresses (Care Compare)

21 Dwight Rd
Suite 201
Longmeadow, MA 01106-1765
Phone (413) 794-8484

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate OB/GYN Group Inc Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Center for Pelvic Physical Therapy, LLC PastSince Aug 1, 2018 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients
Baystate Medical Practices, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

200 Silver St
Unit 112
Agawam, MA 01001
Phone (413) 648-8758

21 Dwight Rd
Longmeadow, MA 01106
Phone (413) 795-4555

21 Dwight Rd
Ste 201
Longmeadow, MA 01106
Phone (413) 794-8484

470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-3926

3455 Main St
Ste C
Springfield, MA 01107
Phone (413) 794-8484

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12089/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.otmaskin.1@12089.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1659799161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 MAIN ST STE C",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071187",
            "telephone_number": "413-794-8484",
            "fax_number": "413-479-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 MAIN STREET SUITE C",
            "address_2": "BAYSTTATE OB GYN GROUP INC",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-794-8484",
            "fax_number": "413-794-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTMASKIN",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "274604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.