Active NPI
David Prutzman, D.O.
- Interventional Cardiology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 20748
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2777 E Camelback Rd
Suite 200
Phoenix, AZ 85016-4352
Phone (602) 952-0002
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Abrazo Scottsdale Campus
- Abrazo West Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 34 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20748 | NH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Family Medicine | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.