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DR. OSAMA ELHILALI M.D
NPI 1780023788
Hospitalist in Fargo, ND

Active since June 23, 2013PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575(701) 417-2535 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, Mar 9, 2021, Sep 19, 2019 (3 updates tracked since 2019).

About Dr. Osama Elhilali M.d NPPES

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

DR. OSAMA ELHILALI M.D (NPI 1780023788) is an individual hospitalist provider in Fargo, North Dakota, licensed in North Dakota (16500) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1780023788
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. OSAMA ELHILALICredential: M.D
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(701) 417-2575
Fax(701) 417-2535
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 23, 2013
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1780023788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in ND · 16500
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125062509 (IL), ME129228 (FL)
5225 23RD AVE S, Fargo, ND 58104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1655 West 8th Street, ACC Bldg, 4th FloorJacksonville, FL 32209-6511 · Phone (904) 244-3092

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Medica, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Osama Elhilali M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618256587
PECOS Enrollment IDI20240117000067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
371 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
344 services137 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
138 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

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

DANIEL GREGORY FALVEY M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DR. KEVIN TORKELSON M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DRE STEINWEHR
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DEREK ANDERSON DO
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 234-5933
MRS. SARAH ELAINE NELL
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
MARY M. NYBAKKEN MD
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
ASHLEY HEULE
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 371-7635
MIRANDA SCHAAN
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575

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 Elhilali's NPI number?

The NPI number for Osama Elhilali is 1780023788. It was assigned to this individual provider in the NPPES registry on June 23, 2013.

Where is Osama Elhilali located?

Osama Elhilali practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is Osama Elhilali's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Osama Elhilali enrolled in Medicare?

Yes. Osama Elhilali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Osama Elhilali accept?

Health plans from AvMed, Medica and Molina Healthcare list Osama Elhilali 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 Elhilali was last updated on July 24, 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.