Active NPI
Osman Khan Yousufzai, MD, MPH
- Pediatrics Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 91132
- Practice address
- 20 Medical Ridge Dr
Greenville, SC 29605-4267 - Phone
- (864) 522-5220
- Fax
- (864) 522-5296
- NPI assigned
- May 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19991 | NV | |
| Pediatrics Physician | 208000000X | 91132 | SC | Primary |
Addresses
Primary practice location
20 Medical Ridge Dr
Greenville, SC 29605-4267
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
1524 Pinto Ln Fl 2
Las Vegas, NV 89106-4195
Phone (702) 671-2236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19991 | NV | MD | Pediatrics Physician |
| 91132 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients |
Locations
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828
2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700
3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315
1524 Pinto Ln
Fl 2
Las Vegas, NV 89106
Phone (702) 671-2236
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
20 Medical Ridge Dr
Greenville, SC 29605
Phone (864) 220-7270
Interoperability endpoints
- oyousufzai737710@direct.ghs.myhfn.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1184152274
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1538694575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1992232417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL RIDGE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054267",
"telephone_number": "864-522-5220",
"fax_number": "864-522-5296"
}
],
"practiceLocations": [
{
"address_1": "1524 Pinto Ln Fl 2",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064195",
"country_code": "US",
"telephone_number": "702-671-2236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUSUFZAI",
"first_name": "OSMAN",
"middle_name": "KHAN",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-15",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "19991",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "91132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.