Active NPI
Prashob Porayette, MD,MS
- Pediatric Cardiology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- MD-45414
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-3537
- Fax
- (319) 384-6955
- NPI assigned
- Jun 16, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-45414 | IA | |
| Pediatric Cardiology Physician | 2080P0202X | Q9483 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11014303A | IN | |
| Pediatric Cardiology Physician | 2080P0202X | MD-45414 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-3537
Other practice location 1
3533 S Alameda St
Suite 202
Corpus Christi, TX 78411-1721
Phone (361) 694-5082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-45414 | IA | MD | Pediatric Cardiology Physician |
| Q9483 | TX | MD | Pediatric Cardiology Physician |
| 11014303A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| State University of Iowa | Pediatrics | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Pediatrics | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
855 A Ave NE
Ste 310
Cedar Rapids, IA 52402
Phone (319) 558-4876
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Interoperability endpoints
- pporayette159132@uihcdirect.org
- pporayette807102@direct.unitypoint.org
Organizations & group practices 7
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Pediatrics
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Student Health Clinic/Center
- Iowa City, IA
- NPI 1285635664
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557014400000",
"number": "1851551428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-3537",
"fax_number": "319-384-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-3537",
"fax_number": "319-384-6955"
}
],
"practiceLocations": [
{
"address_1": "3533 S Alameda St",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784111721",
"country_code": "US",
"telephone_number": "361-694-5082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORAYETTE",
"first_name": "PRASHOB",
"name_prefix": "Dr.",
"credential": "MD,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2019-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD-45414",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "Q9483",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11014303A",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "IA",
"license": "MD-45414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.