Individual provider Active NPI

Puneet Dabas, M.D.

  • Neurology Physician
  • Prescott, AZ
National Provider Identifier
1326488768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
53444 Issued in AZ
Practice address
3773 Crossings Dr Ste C
Prescott, AZ 86305-7140
Phone
(928) 277-8452
Fax
(928) 752-8987
NPI assigned
Jun 30, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 53444 AZ
Neurology Physician 2084N0400X 53444 AZ Primary

Addresses

Primary practice location

3773 Crossings Dr Ste C
Prescott, AZ 86305-7140

Mailing address

PO Box 47729
Phoenix, AZ 85068-7729
Phone (623) 934-5600

Other practice location 1

7900 E Florentine Rd
Prescott Valley, AZ 86314-2218
Phone (928) 277-8452

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
I20170703001262 AZ Practitioner - Neurology 8820388895 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Az Integrated Neuro Spine and Pain LLCGroup PAC ID 5597027516, 15 clinicians

Practice addresses (Care Compare)

13640 N 99TH Ave
Suite 100
Sun City, AZ 85351-0001
Phone (623) 322-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
91.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53444AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Jun 13, 2024 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jun 13, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jun 13, 2024 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Mikrut Physical Therapy LLC Past Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-1287

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (972) 740-9335

Organizations & group practices 9

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": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326488768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47729",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687729",
            "telephone_number": "623-934-5600",
            "fax_number": "523-934-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CROSSINGS DR STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057140",
            "telephone_number": "928-277-8452",
            "fax_number": "928-752-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 E Florentine Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142218",
            "country_code": "US",
            "telephone_number": "928-277-8452",
            "fax_number": "928-752-8987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABAS",
        "first_name": "PUNEET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AZ",
            "license": "53444",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "53444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.