Active NPI
Brandon Matthew Osmanski, D.O.
- Internal Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101019775
- Practice address
- 11885 E 12 Mile Rd
Ste. 300a
Warren, MI 48093-3474 - Phone
- (586) 582-6630
- Fax
- (586) 582-6631
- NPI assigned
- May 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101019775 | MI | Primary |
Addresses
Primary practice location
11885 E 12 Mile Rd
Ste. 300a
Warren, MI 48093-3474
Mailing address
4967 Crooks Rd
Ste 130
Troy, MI 48098-5801
Phone (248) 952-1601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 E 12 Mile Rd
Ascension Macomb Oakland Hospital
Warren, MI 48093-3472
Phone (586) 573-5000
27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019775 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Michigan PC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Inpatient Consultants of Michigan PC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Macomb Oakland Hospital | Past | Accepting new patients |
Locations
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
4967 Crooks Rd
Ste 130
Troy, MI 48098
Phone (248) 952-1601
11885 E 12 Mile Rd
Ste 300A
Warren, MI 48093
Phone (586) 582-6630
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
Interoperability endpoints
- bosmanski1143566@direct.hfhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
Internal Medicine
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Internal Medicine
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Hospitalist Physician
- Livonia, MI
- NPI 1891000964
Internal Medicine
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1720347339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CROOKS RD",
"address_2": "STE 130",
"city": "TROY",
"state": "MI",
"postal_code": "480985801",
"telephone_number": "248-952-1601",
"fax_number": "248-952-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11885 E 12 MILE RD",
"address_2": "STE. 300A",
"city": "WARREN",
"state": "MI",
"postal_code": "480933474",
"telephone_number": "586-582-6630",
"fax_number": "586-582-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMANSKI",
"first_name": "BRANDON",
"middle_name": "MATTHEW",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101019775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.