NPIMap

Organization Active NPI

Sherif H. Osman, M.D., P.a.

  • Internal Medicine Physician
  • Bel Air, MD
National Provider Identifier
1679769145
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D36715 Issued in MD
Legal business name
SHERIF H. OSMAN, M.D., P.A.
Practice address
520 Upper Chesapeake Dr
Suite 211
Bel Air, MD 21014-4339
Phone
(410) 638-9765
Fax
(410) 893-5875
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mrs. Sherifa O Clarke
Title
Practice Manager
Phone
(410) 638-9765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D36715 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Suite 211
Bel Air, MD 21014-4339

Mailing address

520 Upper Chesapeake Dr
Suite 211
Bel Air, MD 21014-4339
Phone (410) 638-9765

Other identifiers 1

IdentifierTypeStateIssuer
LY20SHOtherMDCAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050825000878 MD Part B Supplier - Clinic/Group Practice 6406887744 Receives reassigned benefits from 7 practitioners
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

510 Upper Chesapeake Dr
Ste 409
Bel Air, MD 21014
Phone (410) 638-9765

504 Lewis St
Hvre de Grace, MD 21078
Phone (410) 939-0700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1679769145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 211",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "410-638-9765",
            "fax_number": "410-893-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 211",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "410-638-9765",
            "fax_number": "410-893-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF H. OSMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "SHERIFA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-638-9765",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D36715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LY20SH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.