Active NPI
Prashant K Narain, M.D.
- Surgery Physician
- Goodyear, AZ
National Provider Identifier
1679511646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29137
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597271 | Medicaid | AZ |
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
Enrollment records 1
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
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
- Abrazo West Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29137 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rama K Muddaraj MD PC | Surgery | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Surgery Physician
- Goodyear, AZ
- NPI 1528413929
-
- Surgery Physician
- Goodyear, AZ
- NPI 1699880336
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.