Individual provider Active NPI

Ousman Kamara

  • Nurse Practitioner
  • Lathrup Village, MI
National Provider Identifier
1932677614
Registry record updated Nov 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08180419 Issued in MI
Practice address
26237 Southfield Rd
Lathrup Village, MI 48076-4546
Phone
(313) 898-4390
NPI assigned
Nov 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F08180419 MI Primary

Addresses

Primary practice location

26237 Southfield Rd
Lathrup Village, MI 48076-4546

Mailing address

18440 W 9 Mile Rd
Southfield, MI 48075-4034
Phone (313) 414-6242

Other identifiers 2

IdentifierTypeStateIssuer
08180419OtherNA
08180419OtherMINA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001995 MI Practitioner - Nurse Practitioner 8022357763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdslivenow PLLCGroup PAC ID 7214323336, 14 clinicians

Practice addresses (Care Compare)

4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08180419MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Medical Consultants PC CurrentSince Oct 20, 2019 Accepting new patients
Mdslivenow PLLC CurrentSince Jun 28, 2022 Accepting new patients

Locations

8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533

4353 Maple St
Dearborn, MI 48126
Phone (313) 908-0004

20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

16226 Grand River Ave
Detroit, MI 48227
Phone (313) 836-5490

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

Interoperability endpoints

  • Direct secure messaging: ousman.kamara.1@28492.direct.athenahealth.com
  • Direct secure messaging: okamara728376@direct.hfhs.org

Organizations & group practices 2

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": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1932677614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18440 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754034",
            "telephone_number": "313-414-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26237 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764546",
            "telephone_number": "313-898-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "OUSMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "F08180419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "08180419",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "08180419",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.