Active NPI
Jan Prasad, MD
- Cardiovascular Disease Physician
- Phoenix, AZ
National Provider Identifier
1841276334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 17912
- Practice address
- 3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2105 - Phone
- (602) 867-8644
- Fax
- (602) 795-5698
- NPI assigned
- Dec 16, 2005
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 17912 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 17912 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2105
Mailing address
PO Box 98819
Las Vegas, NV 89193-8819
Phone (602) 867-8644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279233 | Medicaid | AZ | |
| AZ0408430 | Other | AZ | BC/BS OF AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Consultants LTD | Past | Accepting new patients | |
| VHS of Arrowhead Inc | Cardiovascular Disease | Past | Accepting new patients |
| Healthfinity, PLLC | Cardiovascular Disease | Past | Accepting new patients |
| Desert Heart Center LTD | Past | Accepting new patients | |
| VHS of Phoenix Inc | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16544/brand/1/csg/1/fhir/r4
- janprasad@cvc.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1023073525
-
- Specialist
- Phoenix, AZ
- NPI 1225089014
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1326438276
-
dba Abrazo Arrowhead Campus
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1326231903
-
dba Abrazo Central Campus
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1659565927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1841276334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98819",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938819",
"telephone_number": "602-867-8644",
"fax_number": "602-795-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "SUITE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322105",
"telephone_number": "602-867-8644",
"fax_number": "602-795-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "JAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "17912",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "17912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279233",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF AZ",
"identifier": "AZ0408430",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.