Fredrick V Osorio, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

24517 Issued in AZ

Practice address

301 S Power Rd Ste 103
Mesa, AZ 85206-5243

Phone

(480) 325-7535

Fax

(480) 325-7462

NPI assigned

Sep 7, 2005

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

Other identifiers 2

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

Nephrology

Education

University of Michigan Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians

Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Mountain Vista Dialysis Center of Arizona Dialysis facility, Mesa, AZ, CCN 032619
• DaVita Gilbert Dialysis Center Dialysis facility, Gilbert, AZ, CCN 032605
• 032578 Apache Junction Dialysis (FMC) Dialysis facility, Apache Junction, AZ, CCN 032578
• 032533 Globe Dialysis (FMC) Dialysis facility, Miami, AZ, CCN 032533
• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
• Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
• Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
• Direct secure messaging: fredrick.osorio.1@2697.direct.athenahealth.com
• Direct secure messaging: gehfosori@yourcarecommunity.org

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.

• Banner Cancer Center Specialists LLC

  • Oncology Clinic/Center
  • Phoenix, AZ
  • NPI 1518253152

  AZ

  Medicare reassignment Care Compare group NPD
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008

  AZ

  Medicare reassignment Care Compare group
• Southwest Kidney Institute Scottsdale LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1902231012

  AZ, Nephrology

  Medicare reassignment NPD
• Banner Cancer Center Specialists LLC

  • Oncology Clinic/Center
  • Payson, AZ
  • NPI 1588158448
  NPD
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1407094436

  Nephrology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Renal Care Group Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Apache Junction, AZ
  • NPI 1639118714

  Dialysis facility

  Care Compare affiliation Name & address match
• Southwest Kidney Davita Dialysis Partners LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gilbert, AZ
  • NPI 1093998767

  Dialysis facility

  Care Compare affiliation Name & address match
• Southwest Kidney Davita Dialysis Partners LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mesa, AZ
  • NPI 1265615934

  Dialysis facility

  Care Compare affiliation Name & address match
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1043848294

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1124656376

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1164050316

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1275161523

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • San Tan Valley, AZ
  • NPI 1407313109

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Tempe, AZ
  • NPI 1528525227

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1538797782

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1689121188

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1932737277

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1306830229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065243",
            "telephone_number": "480-325-7535",
            "fax_number": "480-325-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "FREDRICK",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "24517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380840",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7712630",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osanna Health PLLC
• Blessing Osawaru, MSN, FNP-C
• Kelsie Nicole Osborne
• Lauren Osbourne, APRN- FNP-C
• Carolyn Osenbau, LAC
• Gabriela L Osorio, RN
• Kenneth Dwight Osorio, MD
• Raul Alberto Osorio, MD
• Melissa Ostaszewski, CCP
• Crystal M Ostermeyer, PA-C

• All providers in Mesa, AZ
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.