| NPI | 1053305110 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-09-06 |
| Last Updated | 2013-12-03 |
| Mailing Address | 18263 E 10 Mile Rd, Suite E Roseville, MI 48066-5805 United States Phone: (586) 552-8696 | Fax: (586) 552-4404 📍 View Map |
| Primary Practice Address | 18263 E 10 Mile Rd, Suite E Roseville, MI 48066-5805 United States Phone: (586) 552-8696 | Fax: (586) 552-4404 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1053305110 | - |
| Other (non-Medicare) | MI | 159065 | Great Lakes Health Plan |
| Other (non-Medicare) | MI | 5493662 | Aetna |
| Other (non-Medicare) | MI | 609344516 | DOL/Workers Comp Group Number |
| Other (non-Medicare) | MI | 700E012740 | BCBS Group Number |
| Other (non-Medicare) | MI | 700E031610 | BCBSM Group Number |
| Other (non-Medicare) | MI | BO062528 | BCBSM |
| Other (non-Medicare) | MI | P00386958 | Railroad Medicare PTAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | MI | 4301062528 |
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About NPI 1053305110
Benjamin O Osowa M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053305110. The primary specialty listed is Internal Medicine. The provider is located in Roseville, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053305110?
NPI 1053305110 belongs to Benjamin O Osowa M.D., a Internal Medicine in Roseville, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053305110 active?
The current status of NPI 1053305110 in the NPPES registry is Active. The record was last updated on 2013-12-03.
What specialty is NPI 1053305110?
NPI 1053305110 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053305110?
You can verify NPI 1053305110 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053305110?
The primary practice address on file for NPI 1053305110 is 18263 E 10 Mile Rd, Roseville, MI 48066-5805. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053305110 issued?
NPI 1053305110 was first issued (enumerated) on 2005-09-06. The NPPES record was last updated on 2013-12-03.
Practice Location Map
Benjamin O Osowa is located at 18263 E 10 Mile Rd, Roseville, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Benjamin O Osowa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053305110. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 4301062528 | MI |