Individual provider Active NPI

Benjamin J. Osborne, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1740462894
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
005278 Issued in AZ
Practice address
500 W Thomas Rd
Suite 900
Phoenix, AZ 85013-4224
Phone
(602) 406-3540
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 005278 AZ Primary
Hospitalist Physician 208M00000X 005278 AZ

Addresses

Primary practice location

500 W Thomas Rd
Suite 900
Phoenix, AZ 85013-4224

Mailing address

File 56765
Los Angeles, CA 90074-6765
Phone (602) 406-3860

Other identifiers 1

IdentifierTypeStateIssuer
005278OtherAZMEDICAL LICENSE

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
I20130619000703 AZ Practitioner - Internal Medicine 3870732092 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sjhmc Physician Services CurrentSince May 8, 2013 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jul 20, 2015 Accepting new patients
Cigna Healthcare of Arizona, Inc CurrentSince Jul 20, 2015 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
St Josephs Pathology Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations (25 of 27)

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

3530 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 722-2340

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

5891 W Eugie Ave
Ste 101
Glendale, AZ 85304

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

7000 N 16th St
Ste 130
Phoenix, AZ 85020
Phone (602) 567-1901

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

16635 N 43rd Ave
Phoenix, AZ 85053
Phone (602) 843-7900

7236 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-5565

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

710 W Bell Rd
Phoenix, AZ 85023
Phone (602) 588-3710

500 W Thomas Rd
Ste 900
Phoenix, AZ 85013
Phone (602) 234-0004

36305 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 987-6900

10900 N Scottsdale Rd
Ste 606
Scottsdale, AZ 85254
Phone (480) 368-2500

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1740462894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 56765",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900746765",
            "telephone_number": "602-406-3860",
            "fax_number": "602-406-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "SUITE 900",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134224",
            "telephone_number": "602-406-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "BENJAMIN",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "005278",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "005278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "005278",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.