Osamah Taha Aldoss, M.D.
Individual provider Active NPI Pediatric Cardiology Physician · Milwaukee, WI
NPI 1104043710 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1104043710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 84600 (WI)
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6000
- Fax
- (414) 805-6280
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821000650 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 2062655590 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51840 | MN | MD | Pediatric Cardiology Physician |
| 84600 | WI | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current |
Accepting new patients | |
| Children'S Specialty Group, Inc. | Pediatrics | Current |
Accepting new patients |
Locations
9000 W Wisconsin Ave
#958
Wauwatosa, WI 53226
Phone (414) 266-7615
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- oaldoss132799@direct.chw.org
- oaldoss64154@uihcdirect.org
- oaldoss842829@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 41078 | IA | |
| Pediatric Cardiology Physician | 2080P0202X | 51840 | MN | |
| Pediatric Cardiology Physician | 2080P0202X | 41078 | IA | |
| Pediatric Cardiology Physician | 2080P0202X | 84600 | WI | Yes |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104043710 | Medicaid | WI |
Other providers in Milwaukee, WI
- Erika Aldag
- Jill Alden
- James Alder
- Glenn E Aldinger
- Mindy Beth Aldinger
- Sol del Mar Aldrete Audiffred
- Alyssa Aldridge
- Tinika Kimberly Aldridge
- Jasmine Aleem
- Jason Val Alegro
All providers in Milwaukee, WI · Pediatric Cardiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.