Active NPI
Prabhakaran K Nambiar, MD
- Spinal Cord Injury Medicine Physician
- Prescott Valley, AZ
National Provider Identifier
1386662203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- 0101038579
- Practice address
- 3700 N Windsong Dr
Prescott Valley, AZ 86314-1253 - Phone
- (928) 759-8800
- Fax
- (804) 861-0050
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | 0101038579 | VA | Primary |
Addresses
Primary practice location
3700 N Windsong Dr
Prescott Valley, AZ 86314-1253
Mailing address
3700 N Windsong Dr
Prescott Valley, AZ 86314-1253
Phone (928) 759-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160227000074 | VA | Practitioner - Physical Medicine and Rehabilitation | 6406085612 | Practice locations: Petersburg, VA |
| I20180223001937 | AZ | Practitioner - Physical Medicine and Rehabilitation | 6406085612 | Practice locations: Prescott Valley, AZ |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 53.57 of 100
- Quality
- 71.35
- Improvement activities
- 0
- Cost
- 72.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Mountain Valley Regional Rehabilitation Hospital Inc | Past | Accepting new patients |
Locations
3700 N Windsong Dr
Prescott Vly, AZ 86314
Phone (575) 640-3382
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Johnstown, CO
- NPI 1659705424
-
- Rehabilitation Hospital
- Prescott Valley, AZ
- NPI 1245273853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1386662203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141253",
"telephone_number": "928-759-8800",
"fax_number": "928-443-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141253",
"telephone_number": "928-759-8800",
"fax_number": "804-861-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMBIAR",
"first_name": "PRABHAKARAN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "VA",
"license": "0101038579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
- Kelly Murdock, PSYCHOLOGIST
- Diane Murphy
- My Kare Clinic, PLLC
- Julia Myers, PA
- Ferenc Nagy, MD. CMD
- Delyte Nasch, NP-C
- National Vision Inc
- Christine Nationsjensen, MA(ED), MA, LAC
- Nationwide Optometry P.C. (Nationwide Vision)
- Nazcare, Inc. - Eaton Center for Joyful Health (Eaton Center for Joyful Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.