Andrew J. Presto, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

08287 Issued in AZ

Practice address

202 E Earll Dr
Ste. 360
Phoenix, AZ 85012-2634

Phone

(602) 264-4431

Fax

(602) 241-5109

NPI assigned

Feb 21, 2006

Last updated

Jan 31, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075
  NPD
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Urology Associates, LTD

  • Urology Physician
  • Phoenix, AZ
  • NPI 1952334690
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1538134861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "SUITE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122634",
            "telephone_number": "602-264-4431",
            "fax_number": "602-241-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "STE. 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122634",
            "telephone_number": "602-264-4431",
            "fax_number": "602-241-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTO",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "08287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Group Homes
• Prestige Home Health Care LLC
• Prestige Interventional Group, LLC
• Prestige Personal Care LLC
• Deja Prestige, LAC
• Charles Preston, M.D.
• Jennifer Preston, MD
• Kathryn Preston, DDS
• Melinda A Preston, N.P.
• William Woods Pretlow, MD

• Urology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.