Osama Eltayeb, M.D.
Osama Eltayeb, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Grand Rapids, MI, registered under NPI 1336111681.
Getting there
The practice address on file is 25 MICHIGAN ST NE STE 4200, Grand Rapids, MI 49503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4301513196 | MI | Thoracic Surgery (Cardiothoracic Vascular… primary |
| 036128558 | IL | Thoracic Surgery (Cardiothoracic Vascular… |
Licences are recorded in 2 states: MI, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Cardiac Surgery
- PAC ID
- 0547280109
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | I20150121002228 | Practitioner - Cardiac Surgery |
| Michigan | I20241218003248 | Practitioner - Thoracic Surgery |
Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiac Surgery. There are 2 separate enrolment records across 2 states (IL, MI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Michigan. The practice address on file is in Grand Rapids, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 4301513196
- Specialty
- Thoracic Surgery (Cardiothoracic…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Thoracic Surgery (Cardiothoracic Vascular Surgery) covers
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. NUCC Health Care Provider Taxonomy, code 208G00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 4301513196 | MI | primary |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 036128558 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1336111681 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 2, 2006 |
| Last updated | Jan 27, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
25 MICHIGAN ST NE STE 4200 Grand Rapids, MI 49503 (616) 267-9150 |
| Mailing address |
100 MICHIGAN ST NE # MC845 Grand Rapids, MI 49503 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 3 | 6 | 1 | 1 | 1 | 6 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 6 | 6 | 2 | 1 | 2 | 6 | 7 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.