Individual provider Active NPI

Rahmat Afrasiabi, M.D.

  • Allergy Physician
  • Prescott, AZ
National Provider Identifier
1811961204
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
51566 Issued in AZ
Practice address
3130 Stillwater Dr Ste B
Prescott, AZ 86305-7199
Phone
(928) 244-7540
Fax
(928) 237-5090
NPI assigned
Feb 14, 2006
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A45530 CA
Specialist 174400000X 51566 AZ
Allergy Physician 207KA0200X A45530 CA
Allergy Physician 207KA0200X 51566 AZ Primary

Addresses

Primary practice location

3130 Stillwater Dr Ste B
Prescott, AZ 86305-7199

Mailing address

3130 Stillwater Dr Ste B
Prescott, AZ 86305-7199
Phone (928) 244-7540

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
I20160517001408 AZ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5294785374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3130 Stillwater Dr
Suite B
Prescott, AZ 86305-7199
Phone (928) 224-7540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caspian Gleam Medical Center LLC CurrentSince Sep 11, 2022 Accepting new patients
Northern Arizona Allergy Group LLC Allergy CurrentSince Jul 13, 2018 Accepting new patients

Locations

3130 Stillwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 224-7540

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1811961204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 STILLWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057199",
            "telephone_number": "928-244-7540",
            "fax_number": "928-237-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 STILLWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057199",
            "telephone_number": "928-244-7540",
            "fax_number": "928-237-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFRASIABI",
        "first_name": "RAHMAT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45530",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "51566",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A45530",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "51566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.