Individual provider Active NPI

Vinay Prabhakaran, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1720004393
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40421 Issued in AZ
Practice address
8328 E. Hartford Dr.
Scottsdale, AZ 85255
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38813 KY
Internal Medicine Physician 207R00000X 40421 AZ Primary

Addresses

Primary practice location

8328 E. Hartford Dr.
Scottsdale, AZ 85255

Mailing address

8328 E. Hartford Dr.
Scottsdale, AZ 85255
Phone (502) 637-1005

Other identifiers 3

IdentifierTypeStateIssuer
000000336564OtherKYANTHEM FACETS PIN
352442MedicaidAZ
64083587MedicaidKY

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
I20081222000020 AZ Practitioner - Internal Medicine 8022080993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Inpatient Specialists PLCGroup PAC ID 4385021526, 35 clinicians

Practice addresses (Care Compare)

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Assisted Home Health Home health agency, Phoenix, AZ, CCN 037220
  • Fountain Hills Post Acute Nursing home, Fountain Hills, AZ, CCN 035260
  • Life Care Center of Scottsdale Nursing home, Scottsdale, AZ, CCN 035143

Merit-based Incentive Payment System (MIPS)

Final score
51.63 of 100Reported as group
Quality
43.08
Promoting interoperability
0
Improvement activities
40
Cost
69.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38813KYMDInternal Medicine Physician
TP214KYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC Internal Medicine CurrentSince Oct 15, 2010 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2011 Accepting new patients
Scottsdale Inpatient Specialists, PLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2011 Accepting new patients
Cove Associates, LLC PastSince Aug 29, 2012 Accepting new patients
Thompson Peak Healthcare LLC Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste E5
Glendale, AZ 85306
Phone (480) 805-8855

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

8328 E Hartford Dr
Scottsdale, AZ 85255
Phone (480) 214-9720

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of ScottsdaleScottsdale, AZ, CCN 035143 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 29, 2012
Feb 28, 2025
Fountain Hills Post AcuteFountain Hills, AZ, CCN 035260 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Oct 1, 2022
Oct 1, 2022
Oct 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1720004393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 E. HARTFORD DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "502-637-1005",
            "fax_number": "502-635-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 E. HARTFORD DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKARAN",
        "first_name": "VINAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38813",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACETS PIN",
            "identifier": "000000336564",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352442",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083587",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.