Individual provider Active NPI

Osama Elshazly, M.D.

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1407822877
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71008 Issued in FL
Practice address
2202 State Ave
Suite 102
Panama City, FL 32405-7601
Phone
(850) 785-0085
Fax
(850) 785-0558
NPI assigned
Feb 27, 2006
Last updated
May 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71008 FL Primary

Addresses

Primary practice location

2202 State Ave
Suite 102
Panama City, FL 32405-7601

Mailing address

2316 W 23Rd St
Ste a
Panama City, FL 32405-2373
Phone (850) 785-0085

Other identifiers 2

IdentifierTypeStateIssuer
32145OtherFLBCBS FLORIDA
250947400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100918000128 FL Practitioner - Internal MedicinePractitioner - Family Practice 0749384543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osama Elshazly MD PAGroup PAC ID 5294839098, 2 clinicians

Practice addresses (Care Compare)

2316 W 23Rd St
Suite a
Panama City, FL 32405-2345
Phone (850) 785-0085

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osama Elshazly MD PA Internal Medicine CurrentSince Feb 4, 2012 Accepting new patients

Locations

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

2316 W 23rd St
Ste A
Panama City, FL 32405
Phone (850) 785-0085

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1407822877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 W 23RD ST",
            "address_2": "STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052373",
            "telephone_number": "850-785-0085",
            "fax_number": "850-785-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 102",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-785-0085",
            "fax_number": "850-785-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAZLY",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "32145",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250947400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.