Individual provider Active NPI

Khidir A Osman, M.D.

  • Cardiovascular Disease Physician
  • Yuma, AZ
National Provider Identifier
1386742864
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28831 Issued in AZ
Practice address
789 W 27TH St
Suite 1
Yuma, AZ 85364-7207
Phone
(928) 344-8400
Fax
(928) 344-8412
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28831 AZ Primary

Addresses

Primary practice location

789 W 27TH St
Suite 1
Yuma, AZ 85364-7207

Mailing address

789 W 27TH St
Suite 1
Yuma, AZ 85364-7207
Phone (928) 344-8400

Other identifiers 1

IdentifierTypeStateIssuer
547573MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031216000179 AZ Practitioner - Cardiovascular Disease (Cardiology) 9133025570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Cardiac Center PCGroup PAC ID 4789580184, 3 clinicians

Practice addresses (Care Compare)

789 W 27TH St
Suite 1
Yuma, AZ 85364-7207
Phone (928) 344-8400

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score
89.42 of 100Reported as individual
Quality
86.89
Promoting interoperability
100
Improvement activities
40
Cost
77.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair11
Varicose vein removal38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Cardiac Center PC Cardiovascular Disease CurrentSince Dec 1, 2003 Accepting new patients
Yuma Advanced Lab LLC Current Accepting new patients
Southwest Heart and Vascular Care, LTD. Cardiovascular Disease PastSince Dec 2, 2003 Accepting new patients

Locations

789 W 27th St
Ste 1
Yuma, AZ 85364
Phone (928) 344-8400

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

789 W 27th St
Yuma, AZ 85364
Phone (928) 446-9289

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1386742864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 W 27TH ST",
            "address_2": "SUITE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647207",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 W 27TH ST",
            "address_2": "SUITE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647207",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "KHIDIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "28831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547573",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.