Individual provider Active NPI

Mahmoud Sarwat Okasha, M.D.

  • Psychiatry Physician
  • Norwich, CT
National Provider Identifier
1083890016
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
017529 Issued in CT
Practice address
200 W Town St
Norwich, CT 06360-2112
Phone
(860) 886-1508
Fax
(860) 889-4606
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 017529 CT Primary

Addresses

Primary practice location

200 W Town St
Norwich, CT 06360-2112

Mailing address

200 W Town St
Norwich, CT 06360-2112
Phone (860) 886-1508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080604000371 CT Practitioner - Psychiatry 5991875890

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Psychiatric Center Psychiatry Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1083890016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602112",
            "telephone_number": "860-886-1508",
            "fax_number": "860-889-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602112",
            "telephone_number": "860-886-1508",
            "fax_number": "860-889-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKASHA",
        "first_name": "MAHMOUD",
        "middle_name": "SARWAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "017529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.