EDRESS OTHMAN (MD) – Hematology & Oncology Physician, NPI 1508916792

EDRESS OTHMAN (MD) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 254703 (MA). The NPI Number for EDRESS OTHMAN (MD) is 1508916792

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
EDRESS OTHMAN (MD)
NPI
1508916792
Phone
(508) 973-2000
Address
200 MILL RD
Enumeration Date
11 January 2007
Last Update Date
23 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089737766
Graduation Year
1998 (28 years ago)
PAC ID
4082690227
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20130917000122
Address ID
MA027205281FA534XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
eothman12963@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

606 HEMATOLOGY/ONCOLOGY in MA

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Provider Addresses for EDRESS OTHMAN (MD)

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    SUITE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 206, Mill Road, Fairhaven, Bristol County, Massachusetts, 02719, United States

    FAIRHAVEN, MA 027195208

    Phone: (508) 973-3000

    Fax: (508) 973-3119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $394.

Total Amount is formed as General ($394) + Research ($0) + Ownership ($0) = $394.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Celgene Corporation ($90).

Total Amount

$394

General + Research + Ownership

Payments

19

Total payment records

General Amount

$394

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130917000122IHematology/OncologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes624384$0
99215Established patient office or other outpatient visit, 40-54 minutes619205$0
99213Established patient office or other outpatient visit, 20-29 minutes252219$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13280$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes124115$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Does EDRESS OTHMAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDRESS OTHMAN (MD) uses 1508916792.
Is EDRESS OTHMAN (MD) listed as active for patients and plans?
The listing shows EDRESS OTHMAN (MD) as active in the NPI system.
What is EDRESS OTHMAN (MD) best known for clinically?
Directory data describes EDRESS OTHMAN (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is EDRESS OTHMAN (MD) based?
EDRESS OTHMAN (MD) is tied to Fairhaven, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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