Individual provider Active NPI

Walid Aref Osta, M.D.

  • Interventional Pain Medicine Physician
  • Dearborn, MI
National Provider Identifier
1184832362
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4301085721 Issued in MI
Practice address
3845 Monroe St
Dearborn, MI 48124-4607
Phone
(313) 586-4030
Fax
(313) 586-4031
NPI assigned
May 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301085721 MI
Pain Medicine Physician 208VP0000X 4301085721 MI
Interventional Pain Medicine Physician 208VP0014X 4301085721 MI Primary

Addresses

Primary practice location

3845 Monroe St
Dearborn, MI 48124-4607

Mailing address

3845 Monroe St
Dearborn, MI 48124-4607
Phone (313) 586-4030

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
I20100720000030 MI Practitioner - Pain ManagementPractitioner - Anesthesiology 4880726371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3845 Monroe St
Dearborn, MI 48124-4607
Phone (313) 586-4030

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Pain & Spine Center, P.C. Interventional Pain Medicine CurrentSince Jun 15, 2010 Accepting new patients

Locations

3845 Monroe St
Dearborn, MI 48124
Phone (313) 586-4030

Interoperability endpoints

  • Direct secure messaging: wosta@direct.dmc.org

Organizations & group practices 1

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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1184832362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244607",
            "telephone_number": "313-586-4030",
            "fax_number": "313-586-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244607",
            "telephone_number": "313-586-4030",
            "fax_number": "313-586-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTA",
        "first_name": "WALID",
        "middle_name": "AREF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301085721",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301085721",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301085721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.