Individual provider Active NPI

Osman Khan Yousufzai, MD, MPH

  • Pediatrics Physician
  • Greenville, SC
National Provider Identifier
1992232417
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
91132 Issued in SC
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

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201231001345 NV Practitioner - Pediatric Medicine 8224309166 Reassigns benefits to 1 organization
I20240102003704 SC Practitioner - Pediatric Medicine 8224309166 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19991NVMDPediatrics Physician
91132SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Sep 28, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Nov 27, 2023 Accepting new patients
Prisma Health University Medical Group Pediatrics CurrentSince Nov 27, 2023 Accepting new patients
Unlv Medicine CurrentSince Sep 28, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.