Active NPI
Oussama Abousamra, M.D.
- Pediatric Orthopaedic Surgery Physician
- Columbus, OH
National Provider Identifier
1346609740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 57.030408
- Practice address
- 700 Childrens Dr Ste T2Ea2700
Columbus, OH 43205-2664 - Phone
- (202) 802-4047
- NPI assigned
- Feb 15, 2016
- Last updated
- Jul 21, 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 |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 57.030408 | OH | Primary |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | C7-0005739 | DE |
Addresses
Primary practice location
700 Childrens Dr Ste T2Ea2700
Columbus, OH 43205-2664
Mailing address
700 Childrens Dr Ste T2Ea2700
Columbus, OH 43205-2664
Phone (202) 802-4047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0005739 | DE | MD | Pediatric Orthopaedic Surgery Physician |
| 57.030408 | OH | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Children's Hospital Los Angeles | Past | Accepting new patients | |
| Chla Teaching Clinics LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- Multi-Specialty Clinic/Center
- Arcadia, CA
- NPI 1669992152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346609740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR STE T2EA2700",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "202-802-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR STE T2EA2700",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "202-802-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOUSAMRA",
"first_name": "OUSSAMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "OH",
"license": "57.030408",
"primary": true
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "DE",
"license": "C7-0005739",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.