Fnu Urusa Mohammed Khaled

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

004921 Issued in OH

Practice address

22901 Millcreek Blvd Ste 200
Beachwood, OH 44122-5701

Phone

(331) 980-9824

NPI assigned

Jun 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1659268118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 N KIMBALL AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255110",
            "telephone_number": "331-980-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225701",
            "telephone_number": "331-980-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URUSA MOHAMMED KHALED",
        "first_name": "FNU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• Breyon Upton
• Caitlin Marie Urdiales, MA, LPCC
• Wulf Hessel Utian, M.D.,PH.D.,D.SC.
• Neil Vaiselberg
• Samuel Jacob Vaiselberg
• Tracey Vaiselberg, LPCC
• Mauro Valotto Jr.

• Student in an Organized Health Care Education/Training Program in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.