Individual provider Active NPI

Sherleen Mohamdi-Osman, MD

  • Nephrology Physician
  • Wake Island, HI
National Provider Identifier
1871706358
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
186284 Issued in NY
Practice address
Wake Island Dispensary
Wake Island, HI 96898-5000
Phone
(808) 424-2455
Fax
(808) 424-2177
NPI assigned
May 8, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 186284 NY Primary

Addresses

Primary practice location

Wake Island Dispensary
Wake Island, HI 96898-5000

Mailing address

Wake Island Dispensary
Wake Island, HI 96898-5000
Phone (845) 821-2450

Other identifiers 1

IdentifierTypeStateIssuer
186284OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20181114002932 GU Practitioner - Internal MedicinePractitioner - Nephrology 7618936600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Med and NephrologyGroup PAC ID 1951296490, 14 clinicians

Practice addresses (Care Compare)

736 Route 4
Suite 103
Sinajana, GU 96910-3368
Phone 6716497232201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.42 of 100Reported as group
Quality
34.49
Improvement activities
40
Cost
75.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186284NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Med & Nephrology CurrentSince Nov 1, 2018 Accepting new patients
Fletcher J Johnson MD PC Past Accepting new patients
Advanced Eyecare, LLC PastSince Nov 1, 2018 Accepting new patients

Locations

736 Route 4
Ste 103
Sinajana, GU 96910
Phone (671) 649-7232

Organizations & group practices 3

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 4

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871706358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE ISLAND DISPENSARY",
            "city": "WAKE ISLAND",
            "state": "HI",
            "postal_code": "968985000",
            "telephone_number": "845-821-2450",
            "fax_number": "808-424-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE ISLAND DISPENSARY",
            "city": "WAKE ISLAND",
            "state": "HI",
            "postal_code": "968985000",
            "telephone_number": "808-424-2455",
            "fax_number": "808-424-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMDI-OSMAN",
        "first_name": "SHERLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "186284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "186284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.