Individual provider Active NPI

Hussein Kalahy Osman-Mohamed, MD

  • Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1245266329
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME106772 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 721
Fort Lauderdale, FL 33316-2521
Phone
(954) 831-2763
Fax
(954) 712-3970
NPI assigned
Jun 23, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X ME106772 FL
Surgery Physician 208600000X ME106772 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 721
Fort Lauderdale, FL 33316-2521

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 831-2763

Other practice location 1

901 Venetia Bay Blvd Ste 350
Venice, FL 34285-8052
Phone (941) 497-3327

Other practice location 2

1301 2nd Ave SW
Ste 315
Largo, FL 33770-3120
Phone (727) 587-7120

Other identifiers 1

IdentifierTypeStateIssuer
003294500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060920000309 IA Practitioner - General Surgery 1759386089 Reassigns benefits to 1 organization
I20110325000333 FL Practitioner - General SurgeryPractitioner - Gastroenterology 1759386089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106772FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Apr 17, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

804 Kenyon Rd
Ste 201
Fort Dodge, IA 50501
Phone (515) 574-6865

Interoperability endpoints

  • Direct secure messaging: hussein.osman-mohamed.1@4692.direct.athenahealth.com

Organizations & group practices 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1245266329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-831-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 721",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-831-2763",
            "fax_number": "954-712-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Venetia Bay Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858052",
            "country_code": "US",
            "telephone_number": "941-497-3327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 2nd Ave SW",
            "address_2": "Ste 315",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703120",
            "country_code": "US",
            "telephone_number": "727-587-7120",
            "fax_number": "727-585-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMAN-MOHAMED",
        "first_name": "HUSSEIN",
        "middle_name": "KALAHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "FL",
            "license": "ME106772",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME106772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003294500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.