Individual provider Active NPI

Waseem Ostwani, MD

  • Pediatric Critical Care Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1265646335
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
4301093791 Issued in MI
Practice address
1500 E Medical Center Drive
12TH Floor C. S. Mott Childrens Hospital RM 525
Ann Arbor, MI 48109-4280
Phone
(734) 763-5302
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301093791 MI
Pediatric Critical Care Medicine Physician 2080P0203X 35.127852 OH
Pediatric Critical Care Medicine Physician 2080P0203X 4301093791 MI Primary

Addresses

Primary practice location

1500 E Medical Center Drive
12TH Floor C. S. Mott Childrens Hospital RM 525
Ann Arbor, MI 48109-4280

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wostwani36435@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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
I20120813000303 MI Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 0244486926 Reassigns benefits to 1 organization
I20160719002687 OH Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 0244486926 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093791MIMDPediatrics Physician
35.127852OHMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Jul 1, 2018 Accepting new patients
Promedica Central Physicians CurrentSince Feb 18, 2017 Accepting new patients
Promedica Children'S Specialists Pediatrics CurrentSince Jun 1, 2016 Accepting new patients
Hurley Medical Center Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
Promedica Central Physicians CurrentSince Feb 18, 2017 Accepting new patients
A2 Pediatrics PLLC Pediatric Critical Care Medicine Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Toledo Childrens Hospital Past Accepting new patients

Locations

1500 E Medical Center Dr
Fl 12
Ann Arbor, MI 48109
Phone (734) 615-7845

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Seagate
Ste 800
Toledo, OH 43604

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Organizations & group practices 8

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1265646335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "12TH FLOOR C. S. MOTT CHILDRENS HOSPITAL RM 525",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094280",
            "telephone_number": "734-763-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTWANI",
        "first_name": "WASEEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301093791",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "OH",
            "license": "35.127852",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MI",
            "license": "4301093791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wostwani36435@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.