NPIMap

Individual provider Active NPI

Yama Osmanzai, MD

  • Infectious Disease Physician
  • Myrtle Beach, SC
National Provider Identifier
1376593673
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MMD 38111 MD Issued in SC
Practice address
1110 London St Ste 102
Myrtle Beach, SC 29577-5799
Phone
(843) 668-2376
Fax
(843) 748-0613
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232915 NY
Infectious Disease Physician 207RI0200X MMD 38111 MD SC Primary

Addresses

Primary practice location

1110 London St Ste 102
Myrtle Beach, SC 29577-5799

Mailing address

1110 London St Ste 102
Myrtle Beach, SC 29577-5799
Phone (843) 668-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910001824 SC Practitioner - Internal MedicinePractitioner - Infectious Disease 3072588904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 London St
Suite 104
Myrtle Beach, SC 29577-5799
Phone (843) 668-2376

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Myrtle Beach, SC, CCN 427045
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD 38111 MDSCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Infectious Disease, LLC Infectious Disease CurrentSince Dec 21, 2015 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jan 16, 2016 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jan 16, 2016 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients
Mid Hudson Physicians, P.C. Internal Medicine PastSince Apr 30, 2003 Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Cortland County, PLLC Internal Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

1110 London St
Ste 104
Myrtle Beach, SC 29577
Phone (843) 668-2376

1110 London St
Ste 102
Myrtle Beach, SC 29577
Phone (843) 668-2376

Interoperability endpoints

  • Direct secure messaging: yosmanzai447925@direct.musc.edu

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1376593673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 LONDON ST STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775799",
            "telephone_number": "843-668-2376",
            "fax_number": "843-748-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 LONDON ST STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775799",
            "telephone_number": "843-668-2376",
            "fax_number": "843-748-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMANZAI",
        "first_name": "YAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232915",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "MMD 38111 MD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.