Active NPI
Vinay Prabhakaran, MD
- Internal Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40421
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000336564 | Other | KY | ANTHEM FACETS PIN |
| 352442 | Medicaid | AZ | |
| 64083587 | Medicaid | KY |
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
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Hospital & facility affiliations
- Assisted Home Health
- Fountain Hills Post Acute
- Life Care Center of Scottsdale
Merit-based Incentive Payment System (MIPS)
- Final score
- 51.63 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 38813 | KY | MD | Internal Medicine Physician |
| TP214 | KY | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Physicians Group PLC | Internal Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Scottsdale Inpatient Specialists, PLC | Internal Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Cove Associates, LLC | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Life Care Center of Scottsdale | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 29, 2012 Feb 28, 2025 |
| Fountain Hills Post Acute | 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.
-
- Skilled Nursing Facility
- Scottsdale, AZ
- NPI 1750384376
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Fountain Hills, AZ
- NPI 1548992936
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
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.
-
- Hospitalist Physician
- Glendale, AZ
- NPI 1376286088
Internal Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1689799579
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Skilled Nursing Facility
- Scottsdale, AZ
- NPI 1750384376
-
- Skilled Nursing Facility
- Fountain Hills, AZ
- NPI 1548992936
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Phoenix, AZ
- NPI 1508313255
-
- Skilled Nursing Facility
- Fountain Hills, AZ
- NPI 1548992936
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.