Individual provider Active NPI

Pranav V Doshi, DO

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1013170612
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
006696 Issued in AZ
Practice address
10240 W Indian School Rd
Ste 140
Phoenix, AZ 85037-5907
Phone
(602) 922-1020
Fax
(602) 922-1021
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 006696 AZ Primary

Addresses

Primary practice location

10240 W Indian School Rd
Ste 140
Phoenix, AZ 85037-5907

Mailing address

10240 W Indian School Rd
Ste 140
Phoenix, AZ 85037-5907
Phone (602) 922-1020

Other identifiers 1

IdentifierTypeStateIssuer
024627MedicaidAZ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729008221 AZ Practitioner - Interventional Cardiology 5496901043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10240 W Indian School Rd
Suite 140
Phoenix, AZ 85037-5907
Phone (602) 922-1020

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Varicose vein removal167
Leg revascularization (restoring blood flow)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Internal Medicine CurrentSince Apr 14, 2016 Accepting new patients
PVD Medical PLLC Interventional Cardiology CurrentSince Sep 1, 2021 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

10240 W Indian School Rd
Ste 140
Phoenix, AZ 85037
Phone (623) 846-7558

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCFCD/Endpoint/FGCFCD

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 6

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1013170612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "address_2": "STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375907",
            "telephone_number": "602-922-1020",
            "fax_number": "602-922-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "address_2": "STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375907",
            "telephone_number": "602-922-1020",
            "fax_number": "602-922-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "PRANAV",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "006696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024627",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.