Individual provider Active NPI

John Edward Prieve, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1609887389
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3855 Issued in AZ
Practice address
8618 N 35TH Ave Ste 1
Phoenix, AZ 85051-3800
Phone
(602) 973-2712
Fax
(602) 841-3218
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3855 AZ Primary

Addresses

Primary practice location

8618 N 35TH Ave Ste 1
Phoenix, AZ 85051-3800

Mailing address

8618 N 35TH Ave Ste 1
Phoenix, AZ 85051-3800
Phone (602) 973-2712

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061107000396 AZ Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 3870590755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Western University of Health Sciences College of Dental Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8618 N
35TH Suite 1
Phoenix, AZ 85051-3800

8618 N 35TH Ave
Suite 1
Phoenix, AZ 85051-3800
Phone (602) 973-2712

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
John Prieve DO a Professional Corporation CurrentSince Aug 13, 2007 Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

8509 N 51st Ave
Glendale, AZ 85302
Phone (602) 973-2712

8509 N 51st Ave
Ste 8509
Glendale, AZ 85302

8618 N 35th Ave
Ste 1
Phoenix, AZ 85051
Phone (602) 973-2712

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1609887389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 N 35TH AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513800",
            "telephone_number": "602-973-2712",
            "fax_number": "602-841-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 N 35TH AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513800",
            "telephone_number": "602-973-2712",
            "fax_number": "602-841-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEVE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.