Individual provider Active NPI

Alec Pramhus, MD

  • Family Medicine Physician
  • Buckeye, AZ
National Provider Identifier
1225481740
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-10652 Issued in IA
Practice address
525 S Watson Rd Ste 200
Buckeye, AZ 85326-3451
Phone
(602) 726-8750
Fax
(623) 474-5811
NPI assigned
Jul 20, 2016
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-10652 IA Primary

Addresses

Primary practice location

525 S Watson Rd Ste 200
Buckeye, AZ 85326-3451

Mailing address

525 S Watson Rd Ste 200
Buckeye, AZ 85326-3451
Phone (602) 726-8750

Other identifiers 1

IdentifierTypeStateIssuer
58323OtherAZFAMILY MEDICINE

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
I20191001003263 AZ Practitioner - Family Practice 1557656204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

525 S Watson Rd
Suite 200
Buckeye, AZ 85326-3451
Phone (602) 726-8750

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 16, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Sep 16, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

525 S Watson Rd
Ste 200
Buckeye, AZ 85326
Phone (602) 726-8750

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

Interoperability endpoints

  • Direct secure messaging: alec.pramhus.1@600.direct.athenahealth.com

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, 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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1225481740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S WATSON RD STE 200",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263451",
            "telephone_number": "602-726-8750",
            "fax_number": "623-474-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S WATSON RD STE 200",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263451",
            "telephone_number": "602-726-8750",
            "fax_number": "623-474-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAMHUS",
        "first_name": "ALEC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "58323",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.