Doris CHI Osuorah

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11595 Issued in MN

Practice address

4700 92ND Cres
Brooklyn Park, MN 55443-1642

Phone

(763) 442-3106

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Medicine Associates LLCGroup PAC ID 9335465558, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: doris.osuorah.1@15699.direct.athenahealth.com

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.

• Rehabilitation Medicine Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Excelsior, MN
  • NPI 1093103145

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lifespark Medical Group, PA

  • Geriatric Medicine (Family Medicine) Physician
  • St Louis Park, MN
  • NPI 1427551746

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1427893262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 92ND CRES",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431642",
            "telephone_number": "763-442-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 92ND CRES",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431642",
            "telephone_number": "763-442-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUORAH",
        "first_name": "DORIS",
        "middle_name": "CHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Annette Oslund, RPH
• Fatha Mohamed Osman
• Rahma Osman
• Roman Osman
• Lisa S Ostlund, RPH
• Satya Ottercreek, MA
• Outpatient Psychiatry LLC
• Pain Clinics of Minnesota P.a.
• Paradise Care Homes LLC
• Paradise Living LLC

• Gerontology Nurse Practitioner in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
• 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.

Verify at the official NPI Registry.