Individual provider Active NPI

David Prutzman, D.O.

  • Interventional Cardiology Physician
  • Glendale, AZ
National Provider Identifier
1477993152
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20748 Issued in NH
Practice address
18700 N 64TH Dr Ste 201
Glendale, AZ 85308-7112
Phone
(602) 841-0741
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 20748 NH Primary

Addresses

Primary practice location

18700 N 64TH Dr Ste 201
Glendale, AZ 85308-7112

Mailing address

1 Elliot Way Ste 100
Manchester, NH 03103-3502
Phone (603) 627-1669

Other practice location 1

1 Elliot Way Ste 100
Manchester, NH 03103-3502
Phone (603) 627-1669

Other practice location 2

1 Elliot Way Ste 100
Manchester, NH 03103-3502
Phone (603) 627-1669

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
I20230829004440 AZ Practitioner - Interventional Cardiology 6406139716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

2777 E Camelback Rd
Suite 200
Phoenix, AZ 85016-4352
Phone (602) 952-0002

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20748NHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 7, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Aug 7, 2023 Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (623) 561-5437

18700 N 64th Dr
Ste 201
Glendale, AZ 85308
Phone (602) 699-6272

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

14815 W Bell Rd
Ste B8104
Surprise, AZ 85374

14815 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (623) 266-1041

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

Interoperability endpoints

  • Direct secure messaging: david.prutzman.1@600.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1477993152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY STE 100",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033502",
            "telephone_number": "603-627-1669",
            "fax_number": "603-624-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR STE 201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087112",
            "telephone_number": "602-841-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elliot Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033502",
            "country_code": "US",
            "telephone_number": "603-627-1669",
            "fax_number": "603-624-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Elliot Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033502",
            "country_code": "US",
            "telephone_number": "603-627-1669",
            "fax_number": "603-624-2297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUTZMAN",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NH",
            "license": "20748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.