Seth Osafo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036099549 Issued in IL

Practice address

215 Remington Blvd Ste G2
Bolingbrook, IL 60440-3663

Phone

(630) 226-0162

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal MedicineAlso: Emergency Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHEEAA/Endpoint/CHEEAA

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.

• Osafo Health Care Clinic Inc

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1114106978
  Medicare reassignment NPD Authorized official
• Remington Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bolingbrook, IL
  • NPI 1437669926
  NPD
• Illinois Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hillsboro, IL
  • NPI 1861633380
  NPD (past)
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134
  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Bolingbrook Hospital

  • General Acute Care Hospital
  • Bolingbrook, IL
  • NPI 1164530465
  Care Compare affiliation

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1841330537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD",
            "address_2": "STE G2",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403663",
            "telephone_number": "630-226-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE G2",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403663",
            "telephone_number": "630-226-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAFO",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20015067",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seth.osafo@ohcc.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "215 Remington Blvd Ste G2",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604403663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• One Counseling LLC
• Debra Ruth Onvejiaka, DPM
• Orthosport Physical Therapy
• Jennifer Ortiz, RPH
• Osafo Health Care Clinic Inc
• Zane P. Osborne, M.D.
• Danielle M Osterman
• Anjum S Owaisi, M.D.
• Tayfun M Ozgen, MD
• Jameson T Pagano, LCPC

• Internal Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.