Active NPI
Amir Prushani, M.D. M.A.
- Gastroenterology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A135091
- Practice address
- 230 N Broad St
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7000
- NPI assigned
- Jul 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A135091 | CA | Primary |
| Internal Medicine Physician | 207R00000X | MT195869 | PA |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102-1121
Mailing address
200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196
Phone (415) 925-6900
Other practice location 1
200 Tamal Plz Ste 200
Corte Madera, CA 94925-1196
Phone (415) 925-6900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 60.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 138 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 173 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT195869 | PA | MD | Internal Medicine Physician |
| A135091 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Anmed Health | Gastroenterology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Regents Univ of California UCSF | Internal Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Enloe Medical Center | Gastroenterology | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Marin Endoscopy Center, LLC | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986
200 Tamal Plz
Ste 200
Corte Madera, CA 94925
Phone (415) 925-6900
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
401 Bicentennial Way
Santa Rosa, CA 95403
Phone (707) 393-4000
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
2000 E Greenville St
Ste 2900
Anderson, SC 29621
Phone (864) 512-5849
2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131
1922 McConnell Springs Rd
#A
Anderson, SC 29621
Phone (864) 716-6050
Interoperability endpoints
- aprushani360355@hisp.ehr.sutterhealth.org
Organizations & group practices 14
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.
-
dba UCSF Physician Group
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
dba Enloe Digestive Diseases Clinic
- Gastroenterology Physician
- Chico, CA
- NPI 1801226162
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
dba Enloe Op Center Pharmacy
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
dba Sonoma Valley Hospital
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1275762858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TAMAL PLZ STE 200",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251196",
"telephone_number": "415-925-6900",
"fax_number": "415-925-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7000"
}
],
"practiceLocations": [
{
"address_1": "200 Tamal Plz Ste 200",
"address_purpose": "LOCATION",
"city": "Corte Madera",
"state": "CA",
"postal_code": "949251196",
"country_code": "US",
"telephone_number": "415-925-6900",
"fax_number": "415-925-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUSHANI",
"first_name": "AMIR",
"name_prefix": "Dr.",
"credential": "M.D. M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-05",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A135091",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT195869",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "401 Bicentennial Way",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954032149",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.