Individual provider Active NPI

Prabhakar Swaroop, MD

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1295743177
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
55206 Issued in AZ
Practice address
5111 N Scottsdale Rd Ste 151
Scottsdale, AZ 85250-7004
Phone
(602) 254-6686
Fax
(602) 254-4258
NPI assigned
Aug 4, 2006
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 55206 AZ Primary

Addresses

Primary practice location

5111 N Scottsdale Rd Ste 151
Scottsdale, AZ 85250-7004

Mailing address

5111 N Scottsdale Rd Ste 151
Scottsdale, AZ 85250-7004
Phone (602) 254-6686

Other identifiers 2

IdentifierTypeStateIssuer
479779MedicaidAZ
Z231883OtherAZPTAN

Other names 1

  • Prabhakar Swaroop Former name

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
I20180502000372 AZ Practitioner - Gastroenterology 5092806638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

5111 N Scottsdale Rd
Suite 151
Scottsdale, AZ 85250-7004
Phone (602) 254-6686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55206AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jul 31, 2019 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Adobe Gastroenterology, PC CurrentSince May 1, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 31, 2019 Accepting new patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Aug 23, 2023 Accepting new patients
Honorhealth Ambulatory Gastroenterology PastSince Aug 23, 2023 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

1410 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 716-9655

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

645 E Missouri Ave
Ste 280
Phoenix, AZ 85012
Phone (602) 264-9100

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 786-0030

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

5111 N Scottsdale Rd
Ste 151
Scottsdale, AZ 85250
Phone (602) 254-6686

2585 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 322-5295

Organizations & group practices 6

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 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1295743177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 151",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507004",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 151",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507004",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAROOP",
        "first_name": "PRABHAKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "55206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479779",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z231883",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRABHAKAR",
            "last_name": "SWAROOP",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.