Active NPI
Osama S. Hindash, M.D.
- Psychiatry Physician
- Roswell, GA
National Provider Identifier
1093873432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 035652
- Practice address
- 801 Macy Dr
Roswell, GA 30076-6333 - Phone
- (678) 799-9277
- Fax
- (678) 795-9709
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 035652 | GA | Primary |
Addresses
Primary practice location
801 Macy Dr
Roswell, GA 30076-6333
Mailing address
801 Macy Dr
Roswell, GA 30076-6333
Phone (678) 799-9277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209235687A | Medicaid | GA | |
| 300766339 | Other | GA | MAGELLAN |
| 52624445 006 | Other | GA | BLUE CROSS BLUE SHIELD |
| 3503338 | Other | GA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035652 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1093873432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766333",
"telephone_number": "678-799-9277",
"fax_number": "678-795-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766333",
"telephone_number": "678-799-9277",
"fax_number": "678-795-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDASH",
"first_name": "OSAMA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "035652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209235687A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "300766339",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52624445 006",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3503338",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.