Individual provider Active NPI

Ann Katherine Osman, M.D.

  • Internal Medicine Physician
  • Bel Air, MD
National Provider Identifier
1184629784
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0036689 Issued in MD
Practice address
520 Upper Chesapeake Dr
Ste 211
Bel Air, MD 21014-4392
Phone
(410) 638-9000
Fax
(410) 893-5875
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0036689 MD Primary
Internal Medicine Physician 207R00000X MD040013L PA

Addresses

Primary practice location

520 Upper Chesapeake Dr
Ste 211
Bel Air, MD 21014-4392

Mailing address

520 Upper Chesapeake Dr
Ste 211
Bel Air, MD 21014-4392
Phone (410) 638-9000

Other identifiers 2

IdentifierTypeStateIssuer
M27416OtherMDSTATE CDS
T5400002OtherMDCAREFIRST BLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100107000243 MD Practitioner - Internal Medicine 2264573641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0036689MDMDInternal Medicine Physician
MD040013LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherif H. Osman, M.D., P.a. Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 211
Bel Air, MD 21014
Phone (410) 638-9000

Interoperability endpoints

  • Direct secure messaging: ann.osman.1@13727.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184629784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "STE 211",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144392",
            "telephone_number": "410-638-9000",
            "fax_number": "410-893-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "STE 211",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144392",
            "telephone_number": "410-638-9000",
            "fax_number": "410-893-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "ANN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0036689",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040013L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CDS",
            "identifier": "M27416",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "T5400002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.