NPIMap

Individual provider Active NPI

Fauzia Khalida Osama, M.D.

  • Internal Medicine Physician
  • Wylie, TX
National Provider Identifier
1952403958
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0461 Issued in TX
Practice address
801 A Highway 78 Suite 201
Wylie, TX 75098
Phone
(972) 325-2285
NPI assigned
Sep 1, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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 MD00046131 WA
Internal Medicine Physician 207R00000X P0461 TX Primary

Addresses

Primary practice location

801 A Highway 78 Suite 201
Wylie, TX 75098

Mailing address

2501 Elk TRL
Plano, TX 75025-6022
Phone (509) 910-3775

Other identifiers 1

IdentifierTypeStateIssuer
8457533MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000011 TX Practitioner - Internal Medicine 0446257158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Tanvir Ahmad and Dr. Fauzia Khalida Osama MD, PAGroup PAC ID 6406009919, 2 clinicians

Practice addresses (Care Compare)

615 S Hwy 78
Suite 100
Wylie, TX 75098-4099
Phone (972) 429-1077

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Tanvir Ahmad and Dr Fauzia Khalida Osama M.D. PA Internal Medicine CurrentSince Jan 15, 2013 Accepting new patients
Quality Care Medical Clinic,LLC PastSince Jan 4, 1999 Accepting new patients

Locations

615 S Highway 78
Ste 100
Wylie, TX 75098
Phone (972) 325-2285

801 S Highway 78
Ste 201
Wylie, TX 75098
Phone (972) 325-2285

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1952403958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 ELK TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256022",
            "telephone_number": "509-910-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 A HIGHWAY 78 SUITE 201",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-325-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAMA",
        "first_name": "FAUZIA",
        "middle_name": "KHALIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00046131",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8457533",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.