Individual provider Active NPI

Mohamed A Osman, M.D.

  • Interventional Cardiology Physician
  • Plantation, FL
National Provider Identifier
1730103961
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME84837 Issued in FL
Practice address
817 S University Dr Ste 104
Plantation, FL 33324-3345
Phone
(954) 476-9404
Fax
(954) 476-9331
NPI assigned
Jul 27, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35084872 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 37228 AZ
Interventional Cardiology Physician 207RI0011X ME84837 FL Primary

Addresses

Primary practice location

817 S University Dr Ste 104
Plantation, FL 33324-3345

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 476-9404

Other practice location 1

3100 Coral Hills Dr Ste 302
Coral Springs, FL 33065-4138
Phone (954) 476-9404

Other identifiers 1

IdentifierTypeStateIssuer
2530765MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040121000498 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638071707 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Hospital Ekg Readers IncGroup PAC ID 9436115359, 14 clinicians
Ekg and Echo Readers IncGroup PAC ID 4082688718, 25 clinicians
Columbia Primary Care LLCGroup PAC ID 7810906823, 16 clinicians

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 726-1808

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

7630 SW 34TH MNR
Suite 100
Davie, FL 33328-1988
Phone (954) 731-1101

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 473-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37228AZMDCritical Care Medicine (Internal Medicine) Physician
35084872OHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg & Echo Readers Inc CurrentSince Jan 22, 2012 Accepting new patients
Columbia Primary Care LLC CurrentSince May 1, 2025 Accepting new patients
Northwest Hospital Ekg Readers Inc CurrentSince May 29, 2023 Accepting new patients
Tenet Florida Physician Services LLC Interventional Cardiology CurrentSince Jul 20, 2009 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jul 20, 2009 Accepting new patients
Miramar Ekg Readers CurrentSince Apr 29, 2012 Accepting new patients
DRS. Labi & Brady, PA Past Accepting new patients
Critical Care Services, P.C. Critical Care Medicine Past Accepting new patients

Locations

9800 W Sample Rd
Ste B
Coral Springs, FL 33065
Phone (954) 341-3739

7630 SW 34th Mnr
Ste 100
Davie, FL 33328
Phone (954) 731-1101

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

7100 W 20th Ave
Ste 504
Hialeah, FL 33016
Phone (305) 819-1820

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

817 S University Dr
Ste 104
Plantation, FL 33324
Phone (954) 476-9404

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: mohamed.osman@hca4.eclinicaldirectplus.com

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1730103961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-476-9404",
            "fax_number": "954-476-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243345",
            "telephone_number": "954-476-9404",
            "fax_number": "954-476-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Coral Hills Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654138",
            "country_code": "US",
            "telephone_number": "954-476-9404",
            "fax_number": "954-476-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "MOHAMED",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35084872",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "37228",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME84837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530765",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.