Individual provider Active NPI

Osman Faheem, M.D.

  • Interventional Cardiology Physician
  • Fall River, MA
National Provider Identifier
1801073572
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
258625 Issued in MA
Practice address
1565 N Main St Ste 306
Fall River, MA 02720-2972
Phone
(508) 973-9500
Fax
(508) 973-0351
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046715 CT
Hospitalist Physician 208M00000X 046715 CT
Interventional Cardiology Physician 207RI0011X 258625 MA Primary

Addresses

Primary practice location

1565 N Main St Ste 306
Fall River, MA 02720-2972

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ofaheem22296@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140729000291 MA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7517012065 Reassigns benefits to 6 organizations
I20210121000535 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7517012065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046715CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Aug 4, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Prima Care, PC CurrentSince Aug 4, 2014 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 31, 2018 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Dec 31, 2018 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Oct 1, 2014 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Oct 1, 2014 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Jan 5, 2015 Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine CurrentSince Jan 5, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

289 Pleasant St
Fall River, MA 02721
Phone (508) 674-7779

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

1565 N Main St
Ste 306
Fall River, MA 02720
Phone (508) 675-0369

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1801073572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 N MAIN ST STE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202972",
            "telephone_number": "508-973-9500",
            "fax_number": "508-973-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEEM",
        "first_name": "OSMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "046715",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "046715",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "258625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ofaheem22296@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "1565 N Main St Ste 306",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027202972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.