Individual provider Active NPI

Mayra Oseguera, MD

  • Pediatric Nephrology Physician
  • Erie, PA
National Provider Identifier
1770061699
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
MD495137 Issued in PA
Practice address
350 E Bayfront Pkwy Ste C
Erie, PA 16507-2410
Phone
(814) 455-2279
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X MD495137 PA Primary
Nephrology Physician 207RN0300X MD495137 PA

Addresses

Primary practice location

350 E Bayfront Pkwy Ste C
Erie, PA 16507-2410

Mailing address

350 E Bayfront Pkwy Ste C
Erie, PA 16507-2410
Phone (814) 455-2279

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
I20260528002248 PA Practitioner - Nephrology 7517319742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 E Bayfront Pkwy
Suite C
Erie, PA 16507-2410

720 W 3Rd Ave
Apt 447
Columbus, OH 43212-3170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD495137PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Nephrology, Inc. Nephrology PastSince May 3, 2026 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1770061699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E BAYFRONT PKWY STE C",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072410",
            "telephone_number": "814-455-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E BAYFRONT PKWY STE C",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072410",
            "telephone_number": "814-455-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEGUERA",
        "first_name": "MAYRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PA",
            "license": "MD495137",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD495137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.