Active NPI
Eseosa Edo-Osagie, M.D
- Rheumatology Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A202035
- Practice address
- 3950 Hollywood Rd Ste 288
Saint Joseph, MI 49085-9159 - Phone
- (269) 408-0990
- Fax
- (269) 408-0993
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301503531 | MI | |
| Rheumatology Physician | 207RR0500X | 4301503531 | MI | |
| Rheumatology Physician | 207RR0500X | A202035 | CA | Primary |
Addresses
Primary practice location
3950 Hollywood Rd Ste 288
Saint Joseph, MI 49085-9159
Mailing address
3950 Hollywood Rd Ste 288
Saint Joseph, MI 49085-9151
Phone (269) 408-0990
Other practice location 1
1524 McHenry Ave Ste 300
Modesto, CA 95350-4570
Phone (209) 722-4842
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1524 McHenry Ave
Modesto, CA 95350-4570
Phone (209) 722-4842
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A202035 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
1524 McHenry Ave
Ste 300
Modesto, CA 95350
Phone (209) 527-0615
1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085
1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
3950 Hollywood Rd
Ste 288
Saint Joseph, MI 49085
Phone (269) 408-0990
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
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.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1508333253
-
- Community/Retail Pharmacy
- Merced, CA
- NPI 1093817405
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1871944215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD STE 288",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859151",
"telephone_number": "269-408-0990",
"fax_number": "269-408-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD STE 288",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859159",
"telephone_number": "269-408-0990",
"fax_number": "269-408-0993"
}
],
"practiceLocations": [
{
"address_1": "1524 McHenry Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504570",
"country_code": "US",
"telephone_number": "209-722-4842",
"fax_number": "877-435-6573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDO-OSAGIE",
"first_name": "ESEOSA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301503531",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301503531",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A202035",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"address_1": "3950 Hollywood Rd Ste 288",
"city": "Saint Joseph",
"state": "MI",
"country_code": "US",
"postal_code": "490859159",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.