Active NPI
Stephanie T. Osiecki, MD
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1922080464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 203867
- Practice address
- 100 Cambridge St FL 14
Boston, MA 02114-2509 - Phone
- (888) 731-8994
- Fax
- (888) 732-8119
- NPI assigned
- Nov 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 203867 | MA | Primary |
Addresses
Primary practice location
100 Cambridge St FL 14
Boston, MA 02114-2509
Mailing address
100 Cambridge St FL 14
Boston, MA 02114-2509
Phone (888) 731-8994
Other practice location 1
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 731-8994
Other practice location 2
721 Depot Dr
Anchorage, AK 99501-1615
Phone (888) 731-8994
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A30786 | Other | MA | BCBS MA |
| 203867 | Other | MA | CONNECTICARE |
| 9560323 | Other | MA | CIGNA |
| 042104788 | Other | MA | CONSOLIDATED |
| 042104788 | Other | MA | NORTHEAST HEALTH DIRECT |
| 042104788 | Other | MA | UNICARE/GIC |
| 3207749 | Medicaid | MA | |
| 467855 | Other | MA | TUFTS |
| 042104788 | Other | MA | GREAT-WEST HEALTH PLAN |
| 042104788 | Other | MA | NORTH AMERICAN PREFERRED |
| 042104788 | Other | MA | PRIVATE HEALTH CARE SYS. |
| 14912 | Other | MA | HEALTH NEW ENGLAND |
| 7137629 | Other | MA | AETNA |
| 042104788 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| AA24783 | Other | MA | HARVARD PILGRIM HEALTHCAR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090127000212 | MA | Practitioner - Internal Medicine | 0840354452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- stephanie.osiecki.1@27069.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1922080464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CAMBRIDGE ST FL 14",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142509",
"telephone_number": "888-731-8994",
"fax_number": "888-732-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMBRIDGE ST FL 14",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142509",
"telephone_number": "888-731-8994",
"fax_number": "888-732-8119"
}
],
"practiceLocations": [
{
"address_1": "325 N Saint Paul St Ste 3100",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752013923",
"country_code": "US",
"telephone_number": "888-731-8994",
"fax_number": "888-732-8119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "721 Depot Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995011615",
"country_code": "US",
"telephone_number": "888-731-8994",
"fax_number": "888-732-8119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSIECKI",
"first_name": "STEPHANIE",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "203867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "A30786",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "203867",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9560323",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATED",
"identifier": "042104788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "042104788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE/GIC",
"identifier": "042104788",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3207749",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "467855",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST HEALTH PLAN",
"identifier": "042104788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "042104788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTH CARE SYS.",
"identifier": "042104788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "14912",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7137629",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTHCARE ALLI",
"identifier": "042104788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA24783",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.