Individual provider Active NPI

Daniel Fosu

  • Diagnostic Ultrasound Physician
  • Phoenix, AZ
National Provider Identifier
1003584343
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
00097027 Issued in AZ
Practice address
16220 N 7TH St Apt 2136
Phoenix, AZ 85022-6624
Phone
(480) 469-0283
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 00097027 AZ Primary

Addresses

Primary practice location

16220 N 7TH St Apt 2136
Phoenix, AZ 85022-6624

Mailing address

16220 N 7TH St Apt 2136
Phoenix, AZ 85022-6624
Phone (480) 469-0283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00097027AZMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Preventative Health Screening LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1003584343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 N 7TH ST APT 2136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226624",
            "telephone_number": "480-469-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 N 7TH ST APT 2136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226624",
            "telephone_number": "480-469-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSU",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "00097027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.