KEENAN OSMAN DMD
NPI 1508413105
Dentist - General Practice in Tampa, FL
About Keenan Osman Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEENAN OSMAN DMD (NPI 1508413105) is an individual general practice provider in Tampa, Florida, licensed in Florida (DN24476) and active in the NPI registry since August 2019. He has opted out of Medicare through October 2, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Keenan Osman Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 2, 2024 through October 2, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keenan Osman's NPI number?
The NPI number for Keenan Osman is 1508413105. It was assigned to this individual provider in the NPPES registry on August 20, 2019.
Where is Keenan Osman located?
Keenan Osman practices at 15511 N Florida Ave Ste 501, Tampa, FL 33613. The listed phone number is (813) 223-5677.
What is Keenan Osman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Keenan Osman enrolled in Medicare?
No. Keenan Osman has opted out of Medicare through October 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Keenan Osman accept?
Health plans from Ambetter Health, Ambetter of Alabama and Renaissance Dental list Keenan Osman 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 Keenan Osman was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Keenan Osman, DMD · NPI 1508413105
General Practice provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since August 20, 2019.
## Identity
- **NPI:** 1508413105 (Entity type: Individual)
- **Enumerated:** August 20, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN24476 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 15511 N FLORIDA AVE STE 501, Tampa, FL 33613-1215
- **Phone:** (813) 223-5677
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 2, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** December 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508413105) · Data from the CMS NPPES public registry.