Organization Active NPI

Yuma Cardiac Center PC

  • Cardiovascular Disease Physician
  • Yuma, AZ
National Provider Identifier
1508936600
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
YUMA CARDIAC CENTER PC
Practice address
789 W 27TH St
Ste 1
Yuma, AZ 85364
Phone
(928) 344-8400
Fax
(928) 344-8412
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Dr. Khidir A Osman, MDNPI 1386742864
Title
President
Phone
(928) 344-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

789 W 27TH St
Ste 1
Yuma, AZ 85364

Mailing address

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

Other practice location 1

2415 S Avenue A Ste 1
Yuma, AZ 85364-7357
Phone (928) 344-8400

Other identifiers 1

IdentifierTypeStateIssuer
676034MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000791 AZ Part B Supplier - Clinic/Group Practice 4789580184 Receives reassigned benefits from 5 practitioners
Practice locations: Yuma, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1020398Yuma Cardiac Center, PC789 W 27TH St, Ste 1, Yuma, AZ 85364Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

789 W 27th St
Ste 2
Yuma, AZ 85364
Phone (602) 815-4766

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

2415 S Avenue A
Ste 1
Yuma, AZ 85364
Phone (928) 344-8400

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1508936600",
    "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": "85364",
            "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": "STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 S Avenue A Ste 1",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647357",
            "country_code": "US",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YUMA CARDIAC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "KHIDIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-344-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676034",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.