Individual provider Active NPI

Rosemary Fadool, DO

  • Obstetrics & Gynecology Physician
  • Surprise, AZ
National Provider Identifier
1477546273
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3674 Issued in AZ
Practice address
15515 N Reems Rd Ste 101
Surprise, AZ 85374-9549
Phone
(623) 544-1000
Fax
(623) 544-1025
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3674 AZ Primary

Addresses

Primary practice location

15515 N Reems Rd Ste 101
Surprise, AZ 85374-9549

Mailing address

15515 N Reems Rd Ste 101
Surprise, AZ 85374-9549
Phone (623) 544-1000

Other identifiers 1

IdentifierTypeStateIssuer
588006MedicaidAZ

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
I20130116000131 AZ Practitioner - Obstetrics/Gynecology 7911150321 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemary Fadool DO PC CurrentSince Nov 1, 2012 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Obstetrix Medical Group of Phoenix PC CurrentSince Aug 4, 2025 Accepting new patients
Obstetrix Medical Group of Phoenix PC CurrentSince Aug 4, 2025 Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients
Sun Health Corporation Past Accepting new patients

Locations

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

1331 N 7th St
Ste 2
Phoenix, AZ 85006
Phone (602) 257-8118

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

15515 N Reems Rd
Ste 101
Surprise, AZ 85374
Phone (480) 794-1000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Organizations & group practices 6

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1477546273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 N REEMS RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749549",
            "telephone_number": "623-544-1000",
            "fax_number": "623-544-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 N REEMS RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749549",
            "telephone_number": "623-544-1000",
            "fax_number": "623-544-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADOOL",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "3674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.