Active NPI
Hossam A El Refaie
- Physical Therapist
- Omaha, NE
National Provider Identifier
1386817138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 11912 Elm St
Suite 106
Omaha, NE 68144-4443 - Phone
- (402) 630-9756
- Fax
- (402) 504-3535
- NPI assigned
- Apr 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
11912 Elm St
Suite 106
Omaha, NE 68144-4443
Mailing address
14440 F St
Ste 103
Omaha, NE 68137-1005
Phone (402) 630-9756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025105700 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14440 F St
Suite 103
Omaha, NE 68137-1005
Phone (402) 504-3535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East & West Physical Therapy LLC | Current | Accepting new patients | |
| Matthew D. Skaff DC, PC | Past | Accepting new patients |
Locations
2919 S 120th St
Omaha, NE 68144
Phone (402) 330-2510
11912 Elm St
Ste 106
Omaha, NE 68144
Phone (402) 630-9756
14440 F St
Ste 103
Omaha, NE 68137
Phone (402) 504-3535
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Omaha, NE
- NPI 1508944638
-
- Clinic/Center
- Omaha, NE
- NPI 1831380385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1386817138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14440 F ST",
"address_2": "STE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371005",
"telephone_number": "402-630-9756",
"fax_number": "402-504-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11912 ELM ST",
"address_2": "SUITE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444443",
"telephone_number": "402-630-9756",
"fax_number": "402-504-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL REFAIE",
"first_name": "HOSSAM",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025105700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.