Organization Active NPI

Prescott Medical Investment LLC

Doing business as Total Point Prescott Medical

  • Family Medicine Physician
  • Prescott, AZ
National Provider Identifier
1184408874
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRESCOTT MEDICAL INVESTMENT LLC
Doing business as
Total Point Prescott Medical
Practice address
3124 Willow Creek Rd
Prescott, AZ 86301-6610
Phone
(923) 445-7085
Fax
(923) 445-7085
NPI assigned
Aug 23, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Meryam Ahmad, MD
Title
VP of Revenue Cycle
Phone
(936) 676-6415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3124 Willow Creek Rd
Prescott, AZ 86301-6610

Mailing address

3514 Cedar Springs Rd
Dallas, TX 75219-4901
Phone (469) 341-7800

Other names 1

  • TOTAL POINT PRESCOTT MEDICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305004562 AZ Part B Supplier - Clinic/Group Practice 5092151696 Receives reassigned benefits from 6 practitioners
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1184408874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194901",
            "telephone_number": "469-341-7800",
            "fax_number": "469-341-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "923-445-7085",
            "fax_number": "923-445-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT MEDICAL INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MERYAM",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "936-676-6415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL POINT PRESCOTT MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOTAL POINT PRESCOTT MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.