Individual provider Active NPI

Shukri A Osman, MD

  • Nephrology Physician
  • Wailuku, HI
National Provider Identifier
1649248717
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-20893 Issued in HI
Practice address
105 Maui Lani Parkway, Ste 100
Wailuku, HI 96793-2443
Phone
(808) 442-7777
Fax
(808) 442-7778
NPI assigned
Mar 14, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-20893 HI Primary
Nephrology Physician 207RN0300X MD21955 OR

Addresses

Primary practice location

105 Maui Lani Parkway, Ste 100
Wailuku, HI 96793-2443

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

Other practice location 1

9155 SW Barnes Rd Ste 402
Portland, OR 97225-6631
Phone (503) 292-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060306000306 OR Practitioner - Nephrology 0446288542 Reassigns benefits to 1 organization
I20200210000150 HI Practitioner - Nephrology 0446288542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Oregon Health Sciences University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, shared by 3 NPIs, 39 clinicians

Practice addresses (Care Compare)

105 Maui Lani Pkwy
Suite 100
Wailuku, HI 96793-2443
Phone (808) 442-7777

9155 SW Barnes Rd
Suite 402
Portland, OR 97225-6631
Phone (503) 292-7704

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Mar 20, 2006 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Dec 18, 2019 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Mar 20, 2006 Accepting new patients
Pacific Medical Group, PC Past Accepting new patients

Locations

105 Maui Lani Pkwy
Ste 100
Wailuku, HI 96793
Phone (808) 244-9555

10201 SE Main St
Ste 27
Portland, OR 97216
Phone (503) 256-0877

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

9155 SW Barnes Rd
Ste 402
Portland, OR 97225
Phone (503) 292-7704

925 Commercial St SE
Ste 110
Salem, OR 97302
Phone (503) 967-6670

8050 SW Warm Springs St
Ste 150
Tualatin, OR 97062
Phone (503) 692-7971

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
  • Direct secure messaging: sosman21086@hhsc.direct-ci.com
  • Direct secure messaging: sosman37106@direct.acumenmd.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1649248717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAUI LANI PARKWAY, STE 100",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932443",
            "telephone_number": "808-442-7777",
            "fax_number": "808-442-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9155 SW Barnes Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256631",
            "country_code": "US",
            "telephone_number": "503-292-7704",
            "fax_number": "503-292-7046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "SHUKRI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-20893",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD21955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.