NPIMap

Individual provider Active NPI

Prabhunandan F Hiremath, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1831155001
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29389 Issued in AZ
Practice address
4530 E Muirwood Dr
105
Phoenix, AZ 85048-7639
Phone
(480) 961-2303
Fax
(480) 961-2306
NPI assigned
Apr 25, 2006
Last updated
Jan 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29389 AZ Primary

Addresses

Primary practice location

4530 E Muirwood Dr
105
Phoenix, AZ 85048-7639

Mailing address

4530 E Muirwood Dr
105
Phoenix, AZ 85048-7639
Phone (480) 961-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025001127 AZ Practitioner - Internal Medicine 8921069642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Hospitalists, PLLCGroup PAC ID 0941290290, 50 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (888) 488-7640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.88 of 100Reported as individual
Quality
72.86
Improvement activities
0
Cost
73.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Hospitalists, PLLC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Agh Mesa LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients
Gerald Muthu, LLC PastSince Jun 1, 2012 Accepting new patients
Insight-Premier Health LLC Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

3100 W Ray Rd
Chandler, AZ 85226
Phone (480) 207-5975

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 8

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1831155001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "address_2": "105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-961-2303",
            "fax_number": "480-961-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "address_2": "105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-961-2303",
            "fax_number": "480-961-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIREMATH",
        "first_name": "PRABHUNANDAN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.