Osama Ali, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

47019 Issued in KY

Practice address

204 Bevins LN Ste a
Georgetown, KY 40324-6145

Phone

(502) 603-9881

Fax

(888) 234-8154

NPI assigned

Apr 1, 2010

Last updated

Mar 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Osama Abona-Ama Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1447575527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221824",
            "telephone_number": "859-239-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246145",
            "telephone_number": "502-603-9881",
            "fax_number": "888-234-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "OSAMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "121075",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "47019",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "KY",
            "license": "47019",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "121075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100303280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSAMA",
            "last_name": "ABONA-AMA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Akers
• Cathy Norman Al-Meedny
• Raymond J Albensi, ATC
• Abdulnasser Ahmed Yousuf Alhajeri, MD
• Noor Alzahraa Ali, DMD
• Allen T Griffin II MD LLC
• Brandon Ira Allen, DMD
• Brian L Allen, M.D.
• Bridgette Kaye Allen, MFT
• Jackie M. Allen, MS, CCC-SLP

• Psychiatry Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.