Ajith Purush MD PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33680 Issued in AZ

Legal business name

AJITH PURUSH MD PLC

Doing business as

Apurva Advanced Medical Care

Practice address

722 N Montezuma St
Prescott, AZ 86301-2002

Phone

(928) 237-9000

Fax

(928) 237-9011

NPI assigned

Jul 18, 2010

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ajith Purush, MDNPI 1699761437

Title

Member

Phone

(928) 710-1533

Specialties & licenses 3

Addresses

Other names 1

• Apurva Advanced Medical Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajith Purush, MBBS, MD

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1699761437
  Medicare reassignment Care Compare group NPD Authorized official
• Patricia Miriam Rus, PA-C

  • Physician Assistant
  • Prescott, AZ
  • NPI 1275148280
  Medicare reassignment Care Compare group
• Tess Barnes, N.P.

  • Family Nurse Practitioner
  • Prescott, AZ
  • NPI 1457705154
  Medicare reassignment NPD
• Virginia I Greene, FNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1760758981
  Medicare reassignment NPD
• Erin Langmead, PA

  • Medical Physician Assistant
  • Prescott, AZ
  • NPI 1861358855
  Medicare reassignment

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1487967519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N MONTEZUMA ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012002",
            "telephone_number": "928-237-9000",
            "fax_number": "928-237-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N MONTEZUMA ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012002",
            "telephone_number": "928-237-9000",
            "fax_number": "928-237-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJITH PURUSH MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-18",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "PURUSH",
        "authorized_official_first_name": "AJITH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-710-1533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33680",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apurva Advanced Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apurva Advanced Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.