NPIMap

Individual provider Active NPI

Prabhakar Pandey, M.D.

  • Urology Physician
  • Goodyear, AZ
National Provider Identifier
1861491870
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25647 Issued in AZ
Practice address
13555 W McDowell Rd
Suite 302
Goodyear, AZ 85395-2624
Phone
(623) 512-4390
Fax
(623) 512-4391
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D56534 MD
Urology Physician 208800000X 25647 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd
Suite 302
Goodyear, AZ 85395-2624

Mailing address

17560 N 75TH Ave
Suite 440
Glendale, AZ 85308-5983
Phone (623) 512-4390

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
I20101220000717 AZ Practitioner - Urology 4486742103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology LLCGroup PAC ID 9537566930, 11 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 302
Goodyear, AZ 85395-2629
Phone (623) 512-4390

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology LLC Urology CurrentSince Oct 1, 2021 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Jun 1, 2023 Accepting new patients
Yrmc Hospice CurrentSince Jun 1, 2023 Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients
Tong Li, M.D., P.C. Past Accepting new patients

Locations

1488 W Elliot Rd
Gilbert, AZ 85233

1488 W Elliot Rd
Bldg 6
Gilbert, AZ 85233

17560 N 75th Ave
Ste 440
Glendale, AZ 85308
Phone (619) 985-6464

20325 N 51st Ave
Ste 170
Glendale, AZ 85308
Phone 6232494928 ext. 3352

13555 W McDowell Rd
Ste 302
Goodyear, AZ 85395

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

3815 E Bell Rd
Ste 4200
Phoenix, AZ 85032

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

Interoperability endpoints

  • Direct secure messaging: prabhakar.pandey.1@15230.direct.athenahealth.com

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.

Hospital & facility affiliations 8

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1861491870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 N 75TH AVE",
            "address_2": "SUITE 440",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085983",
            "telephone_number": "623-512-4390",
            "fax_number": "623-512-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "SUITE 302",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952624",
            "telephone_number": "623-512-4390",
            "fax_number": "623-512-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "PRABHAKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D56534",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "25647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.