Active NPIIndividual providerSole proprietor

Osman Ahmedtaha, MD

Internal Medicine in Mount Pleasant, Wisconsin

NPI Number1598140105
Practice location
13250 Washington Ave, Mount Pleasant, WI 53177-1516
Fax
—
Last updated
July 29, 2025

Osman Ahmedtaha is an Internal Medicine based in Mount Pleasant, WI. Osman Ahmedtaha practices in Mount Pleasant, WI and has the professional credentials of MD. The NPI Number for Osman Ahmedtaha is 1598140105 and holds a License No. 61923 (CT). The current practice location address for Osman Ahmedtaha is 13250 Washington Ave, Mount Pleasant, WI 53177-1516 and can be reached out via phone at 262-799-8700.

Provider Profile Details

NPI Number
1598140105
Provider Name
Osman Ahmedtaha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13250 Washington Ave, Mount Pleasant, WI 53177-1516
Phone Number
262-799-8700
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2015
Last Update Date
July 29, 2025
Certification Date
July 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
13250 Washington Ave
Mount Pleasant, WI 53177-1516
Zip
53177-1516
Phone Number
262-799-8700
Mount Pleasant, WI 53177Get directions →

Provider Business Mailing Address Details

Address
Po Box 1171
Annandale, VA 22003-9171
City
Annandale
State
VA
Zip
22003-9171
Phone Number
646-236-8068

License Information

License Number (1)
61923
License State (1)
CT
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
82020
License State (2)
WI
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
0101264262
License State (3)
VA
Taxonomy (3)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Osman Ahmedtaha, MD?

The NPI number of Osman Ahmedtaha, MD is 1598140105. It was assigned on July 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Osman Ahmedtaha, MD?

Osman Ahmedtaha, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 61923.

Where does Osman Ahmedtaha, MD practice?

The practice location is 13250 Washington Ave, Mount Pleasant, WI 53177-1516. The office can be reached at 262-799-8700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598140105 directly on the NPPES registry website.

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