NPIMap

Individual provider Active NPI

Fawad Rast

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1275920035
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55810 Issued in AZ
Practice address
3633 Crossings Dr
Prescott, AZ 86305-7101
Phone
(928) 778-0330
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55810 AZ Primary

Addresses

Primary practice location

3633 Crossings Dr
Prescott, AZ 86305-7101

Mailing address

2601 E Roosevelt St
Maricopa Integrated Health System
Phoenix, AZ 85008-4973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921000607 AZ Practitioner - Internal Medicine 6800147356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Spectrum Healthcare Group IncGroup PAC ID 3072411388, 21 clinicians

Practice addresses (Care Compare)

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

3274 Bob Dr
Prescott Valley, AZ 86314-8640
Phone (877) 634-7333

3633 Crossings Dr
Prescott, AZ 86305-7101
Phone (877) 634-7333

8 E Cottonwood St
Cottonwood, AZ 86326-6237
Phone (877) 634-7333

Hospital & facility affiliations

  • Nurses Network by Quality Home Health Care Home health agency, Prescott Valley, AZ, CCN 037154
  • Centerwell Home Health Home health agency, Prescott, AZ, CCN 037139
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55810AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Nov 1, 2018 Accepting new patients
Spectrum Healthcare Group, Inc. Family Medicine Current Accepting new patients
Spectrum Healthcare Group, Inc Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Spectrum Healthcare Group, Inc Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Nov 1, 2018 Accepting new patients
Spectrum Healthcare Group, Inc. Family Medicine Current Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3633 Crossings Dr
Prescott, AZ 86305
Phone (928) 445-2424

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Interoperability endpoints

  • Direct secure messaging: fawad.rast.p1@direct.spectrumhg.nextgenshare.com
  • Direct secure messaging: frast@intmed.gwaydirect.com
  • Direct secure messaging: frast76354@direct.valleywisehealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1275920035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "address_2": "MARICOPA INTEGRATED HEALTH SYSTEM",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CROSSINGS DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101",
            "telephone_number": "928-778-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAST",
        "first_name": "FAWAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "55810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.