Osaid K Ahmad, MD
Individual provider Active NPI Nephrology Physician · Neenah, WI
NPI 1689618589 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1689618589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 42175020 (WI)
- Practice address
- 300 N Commercial St
Ste 200
Neenah, WI 54956-2619 - Phone
- (920) 886-0818
- Fax
- (920) 886-0773
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Valley Nephrology Partners S C
St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Practice addresses (Care Compare)
300 N Commercial St
Suite 200
Neenah, WI 54956-2619
Phone (920) 886-0818
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
Hospital & facility affiliations
- FMC - Neenah
- FMC Dialysis - Waupaca
- FMC Dialysis - Appleton
- Thedacare Regional Medical Center - Appleton Inc
- Thedacare Regional Med Ctr - Neenah
- St Vincent Hospital
- Ascension NE Wisconsin - St Elizabeth Campus
- Thedacare Medical Center - Shawano
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000491 | WI | Practitioner - Nephrology |
1658306980 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42175020 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients | |
| Fox Valley Nephrology Partners S C | Current |
Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Past | Accepting new patients | |
| Ghazala Quddus, M.D., Inc. | Nephrology | Past | Accepting new patients |
| Bio-Medical Applications of Wisconsin, Inc. | Past |
Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
300 N Commercial St
Ste 2
Neenah, WI 54956
Phone (920) 886-0818
300 N Commercial St
#200
Neenah, WI 54956
Phone (920) 886-0818
300 N Commercial St
Neenah, WI 54956
Phone (920) 725-7861
2700 W 9th Ave
Ste 101
Oshkosh, WI 54904
Phone (920) 223-4970
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Interoperability endpoints
- oahmad20690@direct.thedacare.org
- oahmad77043@ewd.direct.hshs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 42175020 | WI | Yes |
Addresses
Primary practice location
300 N Commercial St
Ste 200
Neenah, WI 54956-2619
Mailing address
300 N Commercial St
Ste 200
Neenah, WI 54956-2619
Phone (920) 886-0818
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34696700 | Medicaid | WI |
Other providers in Neenah, WI
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- Joshua Alan
- Juan A. Albino-Rodriguez
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All providers in Neenah, WI · Nephrology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.