Active NPI
Hussein Kalahy Osman-Mohamed, MD
- Surgery Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME106772
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003294500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME106772 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Surgery | Current | 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
- 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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Surgery
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.