Individual provider Active NPI

Ishrat Osman, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1992711808
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-087611 Issued in IL
Practice address
2515 W Lawrence Ave
Chicago, IL 60625-3679
Phone
(773) 989-3344
Fax
(773) 989-8458
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 036087611 IL
Internal Medicine Physician 207R00000X 036-087611 IL Primary

Addresses

Primary practice location

2515 W Lawrence Ave
Chicago, IL 60625-3679

Mailing address

2515 W Lawrence Ave
Chicago, IL 60625-3679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040729000459 IL Practitioner - Internal Medicine 1951371699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Health.P.CGroup PAC ID 3577635747, 2 clinicians
Omni Primary Care and Aesthetic Medicine SCGroup PAC ID 0547693509, 2 clinicians

Practice addresses (Care Compare)

2515 W Lawrence Ave
Chicago, IL 60625-2929
Phone (773) 989-3344

6501 N Lincoln Ave
Lincolnwood, IL 60712-3925
Phone 84724210016311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087611ILMDInternal Medicine Physician
036087611ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Primary Care and Aesthetic Medicine SC CurrentSince Nov 6, 2023 Accepting new patients
Omni Health.P.C CurrentSince Mar 1, 2025 Accepting new patients
Illinois Center for Pain Control LLC CurrentSince Nov 10, 2024 Accepting new patients
Acute Care Specialists, Inc. Past Accepting new patients

Locations

6501 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 242-1001

Organizations & group practices 4

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 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1992711808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253679",
            "telephone_number": "773-989-3344",
            "fax_number": "773-989-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "ISHRAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087611",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-087611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.