Active NPI
Abdul-Fatawu Osman, MD
- Cardiovascular Disease Physician
- Prescott, AZ
National Provider Identifier
1801414206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 70289
- Practice address
- 1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614 - Phone
- (928) 445-6025
- Fax
- (928) 778-3026
- NPI assigned
- Jul 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 70289 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 70289 | AZ |
Addresses
Primary practice location
1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614
Mailing address
2529 W Cactus Rd Apt 2054
Phoenix, AZ 85029-2521
Other practice location 1
7700 E Florentine Rd Ste 206
Prescott Valley, AZ 86314-2245
Phone (928) 442-8117
Other practice location 2
500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218
Phone (602) 406-1150
Other practice location 3
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-1437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221207 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612003795 | AZ | Order and Referring Only - Cardiovascular Disease (Cardiology) | 2769993237 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351046098 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1801414206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 W CACTUS RD APT 2054",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850292521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WILLOW CREEK RD STE 2200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011614",
"telephone_number": "928-445-6025",
"fax_number": "928-778-3026"
}
],
"practiceLocations": [
{
"address_1": "7700 E Florentine Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863142245",
"country_code": "US",
"telephone_number": "928-442-8117",
"fax_number": "928-772-8947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Thomas Rd Ste 850",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134218",
"country_code": "US",
"telephone_number": "602-406-1150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 E Roosevelt St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850084973",
"country_code": "US",
"telephone_number": "602-344-1437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSMAN",
"first_name": "ABDUL-FATAWU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-12",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "70289",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "70289",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221207",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.