Individual provider Active NPI

Collins O. Osula, M.D.

  • Obstetrics & Gynecology Physician
  • Jamestown, NY
National Provider Identifier
1831169432
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2103921 Issued in NY
Practice address
17 Sherman St
Jamestown, NY 14701-7080
Phone
(716) 393-0113
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 2103921 NY Primary

Addresses

Primary practice location

17 Sherman St
Jamestown, NY 14701-7080

Mailing address

207 Foote Ave
OB/GYN
Jamestown, NY 14701-7077
Phone (716) 393-0113

Other identifiers 7

IdentifierTypeStateIssuer
160053539OtherNYMEDICARE RAILROAD
00040430402OtherNYUNIVERA
000913918003OtherNYBLUE CROSS BLUE SHIELD
01861738MedicaidNY
040426004010OtherNYFIDELIS
000000086999OtherNYGHI HMO
0791105OtherNYINDEPENDENT HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address collins.o.osula@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070910000678 NY Practitioner - Obstetrics/Gynecology 9931292778 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

17 Sherman St
Jamestown, NY 14701-7087

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 934-3641

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2103921NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Pathology, PC Current Accepting new patients
General Physician, PC CurrentSince Jan 1, 2023 Accepting new patients
St Joseph'S Hospital Health Center Obstetrics & Gynecology CurrentSince Apr 8, 2024 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Obstetrics & Gynecology CurrentSince Jun 1, 1997 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Great Lakes Physician Practice PC Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
St Josephs Hospital Health Center CurrentSince Apr 8, 2024 Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients
S Wirojratana PC Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

308 Central Ave
Dunkirk, NY 14048
Phone (716) 366-5222

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

609 Central Ave
Dunkirk, NY 14048
Phone (716) 363-6960

268 W Main St
Ste 2
Fredonia, NY 14063
Phone (716) 672-2000

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

17 Sherman St
Jamestown, NY 14701
Phone (716) 484-0173

340 E 4th St
Jamestown, NY 14701
Phone (716) 487-2536

30 Harrison St
Ste 340
Johnson City, NY 13790
Phone (607) 763-8088

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Organizations & group practices 11

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1831169432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "address_2": "OB/GYN",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-393-0113",
            "fax_number": "716-366-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SHERMAN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017080",
            "telephone_number": "716-393-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSULA",
        "first_name": "COLLINS",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2103921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160053539",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00040430402",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000913918003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01861738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426004010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000086999",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0791105",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "collins.o.osula@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.