Steven Michael Luzader Prust, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

54777 Issued in AZ

Practice address

4881 E Grant Rd Ste 101
Tucson, AZ 85712-2704

Phone

(520) 318-6035

Fax

(520) 795-9953

NPI assigned

May 28, 2013

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

University of Arizona College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Sky Spine and Sports Medicine PCGroup PAC ID 6204952153, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.33 of 100Reported as group

Quality

0

Improvement activities

40

Cost

74.43

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7527/brand/1/csg/1/fhir/r4
• Direct secure messaging: steven.prust.1@7527.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Sky Spine & Sports Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tucson, AZ
  • NPI 1316258361
  Medicare reassignment Care Compare group NPD
• Desert Sky Spine & Sports Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sierra Vista, AZ
  • NPI 1407434160
  NPD
• Todd C Case MD PC

  • Plastic Surgery Physician
  • Tucson, AZ
  • NPI 1942455506
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1497192702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704",
            "telephone_number": "520-318-6035",
            "fax_number": "520-795-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704",
            "telephone_number": "520-318-6035",
            "fax_number": "520-795-9953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4747 E Camp Lowell Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85712",
            "country_code": "US",
            "telephone_number": "520-731-5540",
            "fax_number": "520-731-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUST",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL LUZADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q5906",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "54777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431698",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Pruitt, CRNA
• Melissa Pruitt, FNP-C
• Ashley Prunty, OTR/L
• Nancy B. Prunty, N.P.
• Randall S. Prust, M.D.
• Vernon Pryer, LMT
• Ruth Ann Pryor, PH.D.
• Jennifer R Prze, PHARMD
• Laura K Przymus, SLP
• Psych Network P.C. (Psychology Network)

• Pain Medicine (Anesthesiology) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.