Kenneth Dwight Osorio, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

24474 Issued in AZ

Practice address

3514 N Power Rd
Suite 118
Mesa, AZ 85215-2903

Phone

(480) 844-8346

Fax

(480) 844-3889

NPI assigned

Oct 14, 2005

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arizona College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBACBA/Endpoint/CBACBA

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

• Kenneth D. Osorio, M.D., PLLC

  dba Advanced Vein Center

  • Phlebology Physician
  • Mesa, AZ
  • NPI 1447436027
  Medicare reassignment NPD Authorized official
• Raul a Osorio MD PC

  • Gynecology Physician
  • Mesa, AZ
  • NPI 1336486679
  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1245229087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD",
            "address_2": "SUITE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152903",
            "telephone_number": "480-844-8346",
            "fax_number": "480-889-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD",
            "address_2": "SUITE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152903",
            "telephone_number": "480-844-8346",
            "fax_number": "480-844-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "KENNETH",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AZ",
            "license": "24474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Nicole Osborne
• Lauren Osbourne, APRN- FNP-C
• Carolyn Osenbau, LAC
• Fredrick V Osorio, M.D.
• Gabriela L Osorio, RN
• Raul Alberto Osorio, MD
• Melissa Ostaszewski, CCP
• Crystal M Ostermeyer, PA-C
• Nathan Ostler, FNP-C
• Dow Glenn Ostlund II, MA, MS, LAC

• Phlebology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Phlebology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.