Individual provider Active NPI

Osama Galal, M.D.

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1891735148
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076360 Issued in MI
Practice address
8382 Holly Rd
Suite 2
Grand Blanc, MI 48439-1971
Phone
(810) 771-0010
Fax
(810) 771-0011
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301076360 MI Primary
Pediatrics Physician 208000000X 4301076360 MI

Addresses

Primary practice location

8382 Holly Rd
Suite 2
Grand Blanc, MI 48439-1971

Mailing address

8382 Holly Rd
Suite 2
Grand Blanc, MI 48439-1971
Phone (810) 771-0010

Other identifiers 2

IdentifierTypeStateIssuer
4938391MedicaidMI
3502512792OtherMIBCBS

Other names 1

  • Dr. Osama G. M. Ahmed Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001281 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7618942533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8382 Holly Rd
Suite 2
Grand Blanc, MI 48439-1973
Phone (810) 771-0010

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Davison, MI, CCN 237010
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Genesys Hospital Past Accepting new patients
Hurley Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ogalal1127471@direct.hfhs.org
  • Direct secure messaging: osama.galal@fhp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGJAD/Endpoint/DFGJAD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1891735148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 HOLLY RD",
            "address_2": "SUITE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391971",
            "telephone_number": "810-771-0010",
            "fax_number": "810-771-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 HOLLY RD",
            "address_2": "SUITE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391971",
            "telephone_number": "810-771-0010",
            "fax_number": "810-771-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAL",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076360",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4938391",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3502512792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSAMA",
            "last_name": "AHMED",
            "middle_name": "G. M.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.