NPIMap

Organization Active NPI

Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD

  • Internal Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1205883162
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHWEST CARDIOVASCULAR ASSOCIATES AHMED ALFAFARA AND PRASAD LTD
Practice address
1648 Highway 95
Bullhead City, AZ 86442-7906
Phone
(928) 758-4114
Fax
(928) 758-4650
NPI assigned
May 27, 2006
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Mrs. Hema Prasad
Title
Administrator
Phone
(928) 758-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1648 Highway 95
Bullhead City, AZ 86442-7906

Mailing address

1648 Hwy 95
Bullhead City, AZ 86442
Phone (928) 758-4114

Other names 1

  • Southwest Cardiovascular Associates Alfafara, Jacobson, Mirza and Pras Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150709001657 AZ Part B Supplier - Clinic/Group Practice 7810209525 Receives reassigned benefits from 5 practitioners
Practice locations: Bullhead City, AZ
O20160708000849 NV Part B Supplier - Clinic/Group Practice 7810209525 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1526 Turquoise Rd
Bullhead City, AZ 86442
Phone (928) 763-8515

1845 McCulloch Blvd N
Lake Havasu City, AZ 86403

3650 South Pointe Cir
Ste 102
Laughlin, NV 89029
Phone (702) 299-0046

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1205883162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HWY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-758-4114",
            "fax_number": "928-758-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427906",
            "telephone_number": "928-758-4114",
            "fax_number": "928-758-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARDIOVASCULAR ASSOCIATES AHMED ALFAFARA AND PRASAD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "HEMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-758-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Cardiovascular Associates Alfafara, Jacobson, Mirza and Pras",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Southwest Cardiovascular Associates Alfafara, Jacobson, Mirza and Pras",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.