Individual provider Active NPI

Jessica Prebish, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1407185093
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0754 Issued in AZ
Practice address
2915 E Baseline Rd
103
Gilbert, AZ 85234-2425
Phone
(480) 962-4281
Fax
(480) 962-1211
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0754 AZ Primary

Addresses

Primary practice location

2915 E Baseline Rd
103
Gilbert, AZ 85234-2425

Mailing address

2915 E Baseline Rd
103
Gilbert, AZ 85234-2425
Phone (480) 962-4281

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121016000584 AZ Practitioner - Podiatry 7719137306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aprajita Nakra DPM PCGroup PAC ID 0749257293, 4 clinicians

Practice addresses (Care Compare)

2915 E Baseline Rd
Gilbert, AZ 85234-2427
Phone (480) 962-4281

Merit-based Incentive Payment System (MIPS)

Final score
96.94 of 100Reported as group
Quality
93.89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of nail tissue413
Removal or shaving of skin growth43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aprajita Nakra DPM PC Primary Podiatric Medicine CurrentSince Sep 1, 2012 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Cline Foot and Ankle Consultants PLLC Foot & Ankle Surgery PastSince Apr 5, 2020 Accepting new patients
Desert Run Multispecialty PLC Past Accepting new patients

Locations

803 N Salk Dr
Casa Grande, AZ 85122
Phone (480) 917-3706

803 N Salk Dr
Bldg B
Casa Grande, AZ 85122
Phone 4809624281 ext. 801

7400 S Power Rd
Ste 120
Gilbert, AZ 85297
Phone (480) 926-0644

2915 E Baseline Rd
Ste 103
Gilbert, AZ 85234
Phone (480) 962-4281

4365 E Pecos Rd
Ste 105
Gilbert, AZ 85295
Phone (480) 962-4281

8035 E Brown Rd
Bldg 4
Mesa, AZ 85207
Phone (480) 988-4645

Interoperability endpoints

  • Direct secure messaging: jessicaprebish@asjh.medalliesdirect.net
  • Direct secure messaging: jprebish@direct.uspi.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1407185093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E BASELINE RD",
            "address_2": "103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342425",
            "telephone_number": "480-962-4281",
            "fax_number": "480-962-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E BASELINE RD",
            "address_2": "103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342425",
            "telephone_number": "480-962-4281",
            "fax_number": "480-962-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBISH",
        "first_name": "JESSICA",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.