Individual provider Active NPI

Osman M-E Mukhtar, M.D

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1063597904
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301084693 Issued in MI
Practice address
5710 Clio Rd
Flint, MI 48504-1525
Phone
(810) 787-4445
Fax
(833) 582-2259
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084693 MI Primary

Addresses

Primary practice location

5710 Clio Rd
Flint, MI 48504-1525

Mailing address

3390 N State Rd Ste a
Davison, MI 48423-1154
Phone (810) 652-6333

Other identifiers 1

IdentifierTypeStateIssuer
1326420811MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000782 MI Practitioner - Internal Medicine 2769440635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Community Health Network IncGroup PAC ID 1254249196, shared by 10 NPIs, 48 clinicians

Practice addresses (Care Compare)

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4916

2900 N Saginaw St
Flint, MI 48505-4452
Phone (810) 789-9141

5710 Clio Rd
Flint, MI 48504-1525
Phone (810) 787-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301084693MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network Inc. CurrentSince Jul 1, 2018 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Oct 5, 2015 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Oct 5, 2015 Accepting new patients
Trust Care Clinic PLLC Internal Medicine Past Accepting new patients

Locations

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Interoperability endpoints

  • Direct secure messaging: osman.mukhtar.1@25862.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1063597904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 N STATE RD STE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231154",
            "telephone_number": "810-652-6333",
            "fax_number": "810-652-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041525",
            "telephone_number": "810-787-4445",
            "fax_number": "833-582-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTAR",
        "first_name": "OSMAN",
        "middle_name": "M-E",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326420811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.