Active NPI
Dafaallah Hassabelrasool Osman, M.D
- Hospitalist Physician
- Cudahy, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 50231
- Practice address
- 5900 S Lake Dr
Cudahy, WI 53110-3171 - Phone
- (414) 489-9000
- NPI assigned
- Jan 23, 2008
- Last updated
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 50231 | WI | Primary |
Addresses
Primary practice location
5900 S Lake Dr
Cudahy, WI 53110-3171
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
2025 E Newport Ave Rm 217
Milwaukee, WI 53211-2906
Phone (414) 961-4426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002817 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dosman195298@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5900 S Lake Dr
Cudahy, WI 53110-3171
Phone (414) 489-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50231 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2025 E Newport Ave
Rm 217
Milwaukee, WI 53211
Phone (414) 961-3300
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1619154432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S LAKE DR",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531103171",
"telephone_number": "414-489-9000"
}
],
"practiceLocations": [
{
"address_1": "2025 E Newport Ave Rm 217",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532112906",
"country_code": "US",
"telephone_number": "414-961-4426",
"fax_number": "414-961-3393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSMAN",
"first_name": "DAFAALLAH",
"middle_name": "HASSABELRASOOL",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "50231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002817",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dosman195298@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2025 E Newport Ave Rm 217",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532112906",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2025 E Newport Ave Rm 217",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532112906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cudahy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.