Individual provider Active NPI

Prashant K Narain, M.D.

  • Surgery Physician
  • Goodyear, AZ
National Provider Identifier
1679511646
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
29137 Issued in AZ
Practice address
13555 W. McDowell Rd.
Suite 204
Goodyear, AZ 85395-2626
Phone
(623) 247-0300
Fax
(623) 247-9268
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 29137 AZ Primary

Addresses

Primary practice location

13555 W. McDowell Rd.
Suite 204
Goodyear, AZ 85395-2626

Mailing address

13555 W. McDowell Rd.
Suite 204
Goodyear, AZ 85395-2626
Phone (623) 247-0300

Other identifiers 1

IdentifierTypeStateIssuer
597271MedicaidAZ

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
I20060914000010 AZ Practitioner - General Surgery 0749284255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Valley Surgical Associates PLLCGroup PAC ID 5193014678, 2 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 204
Goodyear, AZ 85395-2626
Phone (623) 247-0300

Hospital & facility affiliations

  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29137AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rama K Muddaraj MD PC Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBFAD/Endpoint/FIBFAD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679511646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W. MCDOWELL RD.",
            "address_2": "SUITE 204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-247-0300",
            "fax_number": "623-247-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W. MCDOWELL RD.",
            "address_2": "SUITE 204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-247-0300",
            "fax_number": "623-247-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAIN",
        "first_name": "PRASHANT",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "29137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597271",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.