Individual provider Active NPI

Terrence Anil Prasad, DO

  • Rheumatology Physician
  • Peoria, AZ
National Provider Identifier
1023579927
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
011020 Issued in AZ
Practice address
13943 N 91St Ave Ste I
Peoria, AZ 85381-3692
Phone
(623) 815-2690
Fax
(623) 815-2689
NPI assigned
Mar 26, 2019
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 2022025164 MO
Rheumatology Physician 207RR0500X 011020 AZ Primary

Addresses

Primary practice location

13943 N 91St Ave Ste I
Peoria, AZ 85381-3692

Mailing address

13943 N 91St Ave Ste I
Peoria, AZ 85381-3692
Phone (623) 815-2690

Other practice location 1

13555 W McDowell Rd Ste 203
Goodyear, AZ 85395-2626
Phone (623) 815-2690

Other practice location 2

13613 W Camino Del Sol Ste 4
Sun City West, AZ 85375-4480
Phone (623) 815-2690

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
I20240710004625 AZ Practitioner - Internal MedicinePractitioner - Rheumatology 1557692100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Arthritis Care LLCGroup PAC ID 1456345115, 8 clinicians

Practice addresses (Care Compare)

13943 N 91St Ave BLDG I
Peoria, AZ 85381-3688
Phone (623) 815-2690

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Arthritis Care LLC Rheumatology CurrentSince Jun 1, 2024 Accepting new patients
Orange Medical LLC PastSince Jun 1, 2024 Accepting new patients

Locations

13555 W McDowell Rd
Ste 203
Goodyear, AZ 85395
Phone (623) 512-4190

13943 N 91st Ave
Ste I
Peoria, AZ 85381
Phone (623) 815-2690

13613 W Camino del Sol
Ste 4
Sun City West, AZ 85375
Phone (623) 440-6591

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1023579927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813692",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813692",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 W McDowell Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952626",
            "country_code": "US",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13613 W Camino Del Sol Ste 4",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754480",
            "country_code": "US",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "TERRENCE",
        "middle_name": "ANIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2022025164",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "011020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.