SANDRA RENE OSKA – Dermatology Physician, NPI 1275114803

SANDRA RENE OSKA is a healthcare provider. based in Troy, Michigan. specializing in DERMATOLOGY. They hold a License No. A202846 (CA). The NPI Number for SANDRA RENE OSKA is 1275114803

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA RENE OSKA
NPI
1275114803
Phone
Not provided
Address
4519 HYCLIFFE DR
Enumeration Date
15 April 2021
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
3108294104
Graduation Year
2021 (5 years ago)
PAC ID
9638576366
Group Practice PAC ID
6901825421
Professional Enrollment ID
I20251124001919
Address ID
CA904042120SA2001XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for SANDRA RENE OSKA

  • 4519 HYCLIFFE DR

    TROY, MI 480984428

    Phone:

    Type: Mailing

  • 2001 SANTA MONICA BLVD

    SANTA MONICA, CA 904042102

    Phone: (310) 829-4104

    Type: Location

  • 2799 W GRAND BLVD

    DETROIT, MI 482022689

    Phone:

    Type: Mailing

  • 2799 W Grand Blvd

    Detroit, MI 482022689

    Phone: (313) 916-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-24

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
I20251124001919IDermatologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48098)

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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: 6901825421View full group profile
NameSpecialtyState
D E R M A T O L O G YAR
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Where can patients find SANDRA RENE OSKA's NPI?
You can confirm SANDRA RENE OSKA with NPI 1275114803; it appears in the national provider directory.
Is SANDRA RENE OSKA active in the national directory?
SANDRA RENE OSKA's public NPI profile is in an active state.
What kind of provider is SANDRA RENE OSKA?
The page reflects Dermatology Physician for SANDRA RENE OSKA. Clinical services aligned with this taxonomy classification.
Does SANDRA RENE OSKA practice in Michigan?
You will see Troy, Michigan on file for SANDRA RENE OSKA alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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