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OSAMA SHUAIB ISMAIL
NPI 1356913370
Internal Medicine in Bonifay, FL

Active since July 12, 2021CLIA 10D2257863 · Waiver
110 E BYRD AVE, BONIFAY, FL 32425(850) 547-4799 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Osama Shuaib Ismail NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSAMA SHUAIB ISMAIL (NPI 1356913370) is a healthcare organization registered as an internal medicine in Bonifay, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Osama Ismail, Owner, as its authorized official.

NPPES Registry Identity

NPI1356913370
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOSAMA SHUAIB ISMAIL
Location Address110 E BYRD AVEBonifay, FL 32425-3004
Mailing Address1496 S Weeks StBonifay, FL 32425-3284
Phone(850) 547-4799
Organization SubpartNo
Authorized OfficialOsama IsmailOwner · (850) 319-3361
Enumeration DateJuly 12, 2021
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1356913370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
110 E BYRD AVE, Bonifay, FL 32425
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2257863

Osama Shuaib Ismail MD · Bonifay, FL
Active · expires Apr 11, 2028
CLIA Number10D2257863
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorOsama Shuaib Ismail
Laboratory Phone(850) 547-4799
Laboratory LocationOsama Shuaib Ismail MD110 E Byrd Ave, Bonifay, FL 32425
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OSAMA SHUAIB ISMAIL MD
Internal Medicine
110 E BYRD AVE
BONIFAY, FL 32425
Holmes County (850) 547-4799
OSAMA SHUAIB ISMAIL MD LLC
Clinic/Center (Rural Health)
110 E BYRD AVE
BONIFAY, FL 32425
Holmes County (850) 547-2305
AHMAD TARIQ ISMAIL
Family Medicine
110 E BYRD AVE
BONIFAY, FL 32425
Holmes County (850) 547-4799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Osama Shuaib Ismail's NPI number?

The NPI number for Osama Shuaib Ismail is 1356913370. It was assigned to this organization in the NPPES registry on July 12, 2021.

Where is Osama Shuaib Ismail located?

Osama Shuaib Ismail is located at 110 E Byrd Ave, Bonifay, FL 32425. The listed phone number is (850) 547-4799.

What is Osama Shuaib Ismail's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Osama Shuaib Ismail hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257863) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Osama Shuaib Ismail accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Osama Shuaib Ismail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Osama Shuaib Ismail was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.