Osamah Sadeq El-Khatib, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME117154 Issued in FL

Practice address

6950 Outreach Way
North Port, FL 34287-3405

Phone

(941) 861-3820

Fax

(941) 861-2719

NPI assigned

May 12, 2006

Last updated

Feb 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Florida Department of Health

  dba Bradford County Health Department

  • Public Health or Welfare Agency
  • Starke, FL
  • NPI 1932174240
  Medicare reassignment NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Florida Department of Health

  dba Sarasota County Health Department

  • Public Health or Welfare Agency
  • Sarasota, FL
  • NPI 1841268216
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1851341325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 COLLEEN ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529172",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 OUTREACH WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873405",
            "telephone_number": "941-861-3820",
            "fax_number": "941-861-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KHATIB",
        "first_name": "OSAMAH",
        "middle_name": "SADEQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010461800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Eaton, MD
• Jamiya Eddie
• Rachael Anne Edwards, LCSW
• Melissa Egan
• Erika Ruth-Von Ehrenpreis
• Nancy Elias Sierra
• Elizabeth Muddiman Cefalu MD MPH PLLC
• Ray'Niveah Ellison
• Carrie Ellsworth
• Heather Ellsworth

• Internal Medicine Physician in North Port, FL
• Providers in North Port, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.