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KAREN IVETTE OSSA M.D.
NPI 1801005418
Internal Medicine in San Juan, PR

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
1357 AVE ASHFORD, PRESBYTERIAN HOSPITAL PMB 423, SUITE 2, SAN JUAN, PR 00907(787) 999-0204 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2017, Dec 29, 2016 (2 updates tracked since 2016).

About Karen Ivette Ossa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN IVETTE OSSA M.D. (NPI 1801005418) is an individual internal medicine provider in San Juan, Puerto Rico, licensed in Florida (ME-117566) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801005418
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN IVETTE OSSACredential: M.D.
Location Address1357 AVE ASHFORD, PRESBYTERIAN HOSPITAL PMB 423, SUITE 2San Juan, PR 00907-1400
Mailing Address10710 Nw 66th St, Apt. 201Doral, FL 33178-4555 · (787) 240-1564
Phone(787) 999-0204
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 21, 2007
Last NPPES UpdateJanuary 4, 20172 updates tracked since enumeration
✔ NPI 1801005418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME-117566✔ Licensed in PR · 16274
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1357 AVE ASHFORD, San Juan, PR 00907
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Ivette Ossa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315199569
PECOS Enrollment IDI20160412001574, I20200408002960
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
358 services166 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
106 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services61 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100073
Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County
Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%163 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$15.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers18 claims18 services$66.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL IMAGING, PSC
Clinic/Center (Radiology, Mammography)
1357 AVE ASHFORD, PMB 409
SAN JUAN, PR 00907
San Juan Municipio (787) 787-5151
KIMBERLY M GUADALUPE-ANDERSEN CRNA
Nurse Anesthetist, Certified Registered
1357 AVE ASHFORD, SUITE 2
SAN JUAN, PR 00907
San Juan Municipio (787) 721-2160
LGF LLC
Clinic/Center (Adolescent and Children Mental Health)
1357 AVE ASHFORD, PMB 282
SAN JUAN, PR 00907
San Juan Municipio (787) 641-0773
DR. LORENZO GONZALEZ M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1357 AVE ASHFORD, PMB #282
SAN JUAN, PR 00907
San Juan Municipio (570) 854-9925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Ossa's NPI number?

The NPI number for Karen Ossa is 1801005418. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Karen Ossa located?

Karen Ossa practices at 1357 Ave Ashford Presbyterian Hospital Pmb 423, Suite 2, San Juan, PR 00907. The listed phone number is (787) 999-0204.

What is Karen Ossa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Ossa enrolled in Medicare?

Yes. Karen Ossa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Ossa accept?

Health plans from Oscar Insurance Company list Karen Ossa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Ossa affiliated with any hospitals?

According to CMS data, Karen Ossa is affiliated with Holy Cross Hospital and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Karen Ossa was last updated on January 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.