Individual provider Active NPI

Osaid K Ahmad, MD

  • Nephrology Physician
  • Neenah, WI
National Provider Identifier
1689618589
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
42175020 Issued in 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
Last updated
Feb 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 42175020 WI Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000491 WI Practitioner - NephrologyPractitioner - Internal Medicine 1658306980 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Nephrology Partners S CGroup PAC ID 3870559404, 12 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42175020WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Feb 1, 2020 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 1, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Feb 1, 2020 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 1, 2020 Accepting new patients
Fox Valley Nephrology Partners S C CurrentSince Aug 29, 2005 Accepting new patients
Bio-Medical Applications of Wisconsin, Inc. PastSince Jan 1, 2011 Accepting new patients
Ghazala Quddus, M.D., Inc. Nephrology Past Accepting new patients
Thedacare Medical Center - Shawano, Inc. Past Accepting new patients

Locations

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

300 N Commercial St
Neenah, WI 54956
Phone (920) 725-7861

300 N Commercial St
#200
Neenah, WI 54956
Phone (920) 886-0818

300 N Commercial St
Ste 2
Neenah, WI 54956
Phone (920) 886-0818

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

  • Direct secure messaging: oahmad20690@direct.thedacare.org
  • Direct secure messaging: oahmad77043@ewd.direct.hshs.org

Organizations & group practices 8

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1689618589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N COMMERCIAL ST",
            "address_2": "STE 200",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562619",
            "telephone_number": "920-886-0818",
            "fax_number": "920-886-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COMMERCIAL ST",
            "address_2": "STE 200",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562619",
            "telephone_number": "920-886-0818",
            "fax_number": "920-886-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "OSAID",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "42175020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.