NPIMap

Individual provider Active NPI

Osama Ahmed, MD

  • Internal Medicine Physician
  • Onaway, MI
National Provider Identifier
1578049326
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301504415 Issued in MI
Practice address
21258 M 68 Hwy
Onaway, MI 49765-9663
Phone
(989) 733-2082
NPI assigned
Jul 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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 4301504415 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

21258 M 68 Hwy
Onaway, MI 49765-9663

Mailing address

800 Silver Pine Circle
Unit 12
Gaylord, MI 49735
Phone (312) 687-5559

Other identifiers 1

IdentifierTypeStateIssuer
1578049326MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210723002621 MI Practitioner - Internal Medicine 5890198196 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Bay Community Health Service, Inc CurrentSince Sep 1, 2021 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Sep 1, 2021 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Oct 20, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

21258 M 68 Hwy
Onaway, MI 49765
Phone (989) 733-2082

Organizations & group practices 12

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 9

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thunder Bay Community Health Service Inc 39 clinicians
Vituity - Michigan Hospitalists PC 76 clinicians

Practice addresses (Care Compare)

21258 M 68 Hwy
Onaway, MI 49765-9663
Phone (989) 733-2082

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Cheboygan, MI, CCN 237160
  • Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1578049326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SILVER PINE CIRCLE",
            "address_2": "UNIT 12",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "312-687-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21258 M 68 HWY",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497659663",
            "telephone_number": "989-733-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-09-14",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301504415",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578049326",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onaway, MI

Sources for this page

Verify at the official NPI Registry.