Marty Prah, M.D.
Individual provider Active NPI Urology Physician · Visalia, CA
NPI 1528065125 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1528065125
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- G53486 (CA)
- Practice address
- 5400 W Hillsdale Ave
Visalia, CA 93291-8222 - Phone
- (559) 738-7548
- Fax
- (559) 738-7515
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Medical College of Wisconsin, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Physicians Network
Practice addresses (Care Compare)
1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500
Hospital & facility affiliations
- Kaweah Health Medical Center
- Adventist Health Hanford
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080905000480 | CA | Practitioner - Urology | 0840366480 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care Inc | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Visalia Medical Clinic, Inc. | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients |
Locations
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222
Interoperability endpoints
- martyprah@vmchealth.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G53486 | CA | Yes |
Addresses
Primary practice location
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Mailing address
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7548
NPI Registry JSON
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1528065125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W HILLSDALE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918222",
"telephone_number": "559-738-7548",
"fax_number": "559-738-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W HILLSDALE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918222",
"telephone_number": "559-738-7548",
"fax_number": "559-738-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAH",
"first_name": "MARTY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G53486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
- Jose Prado Rojas
- Alondra Prado
- Kelleen Kaye Prado
- Sofie Prado
- Vanessa Prado
- Carissa Prats
- Cristal Preciado
- Jessica Preciado
- Precision Rehabilitation & Orthopedic Physical Therapy
- Precision Rehabilitation & Orthopedic Physical Therapy Inc
All providers in Visalia, CA · Urology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.