NPIMap

Individual provider Active NPI

Osama Elsallabi, M.D.

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1588087068
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7041 Issued in NE
Practice address
601 N 30TH St Dept of
Omaha, NE 68131-2137
Phone
(402) 280-4180
NPI assigned
Feb 4, 2014
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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 7041 NE Primary
Internal Medicine Physician 207R00000X 49192 KY

Addresses

Primary practice location

601 N 30TH St Dept of
Omaha, NE 68131-2137

Mailing address

636 Dees Street
Misurata, MISURATA NA
LY

Other identifiers 1

IdentifierTypeStateIssuer
7100436730MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160810000430 KY Practitioner - HospitalistPractitioner - Internal Medicine 0749574069 Reassigns benefits to 4 organizations
I20190221000931 WV Practitioner - Internal Medicine 0749574069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-5008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7041NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince May 27, 2017 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Apogee Medical Group Kentucky PSC CurrentSince Sep 3, 2016 Accepting new patients
24 On Physicians, PC CurrentSince Feb 11, 2019 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince May 19, 2021 Accepting new patients
24 On Physicians, P.C. CurrentSince Feb 11, 2019 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Jan 4, 2019 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

Interoperability endpoints

  • Direct secure messaging: oelsallabi288574@direct.stlukeshealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1588087068",
    "addresses": [
        {
            "country_code": "LY",
            "country_name": "Libyan Arab Jamahiriya",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "636 DEES STREET",
            "city": "MISURATA",
            "state": "MISURATA",
            "postal_code": "NA"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST DEPT OF",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSALLABI",
        "first_name": "OSAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "7041",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "49192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100436730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.