Prism Bariatrics LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PRISM BARIATRICS LLC

Practice address

4860 E Baseline Rd Ste 105
Mesa, AZ 85206-4670

Phone

(480) 485-8585

NPI assigned

Dec 24, 2021

Organization subpart

No

Name

Dr. John J Debarros, MDNPI 1194767228

Title

Owner

Phone

(480) 292-5145

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J De Barros, MD

  • Surgery Physician
  • Mesa, AZ
  • NPI 1194767228

  AZ, Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Rob F. Schuster, M.D.

  • Surgery Physician
  • Gilbert, AZ
  • NPI 1114960812

  AZ, Surgery

  Medicare reassignment Care Compare group NPD
• Catherine Kin Ho, D.O.

  • Surgery Physician
  • Tempe, AZ
  • NPI 1881841963

  AZ, Surgery

  Medicare reassignment NPD
• Chelsea M Price, MS, RD, LDN

  • Registered Dietitian
  • Mesa, AZ
  • NPI 1326685983

  AZ

  Medicare reassignment NPD
• Jason Richardson

  • Surgery Physician
  • Mesa, AZ
  • NPI 1255513206

  AZ, Surgery

  Medicare reassignment NPD
• Katy Christinn Stemple, MDA, RDN

  • Registered Dietitian
  • Tempe, AZ
  • NPI 1518401884

  AZ

  Medicare reassignment NPD
• Alexia Gonzalez

  • Registered Dietitian
  • Mesa, AZ
  • NPI 1245056647
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in AZ

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 24, 2021.

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1902566433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064670",
            "telephone_number": "480-485-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064670",
            "telephone_number": "480-485-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM BARIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "DEBARROS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-292-5145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@pivotweightloss.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4860 E Baseline Rd Ste 105",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852064670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Mesa, AZ
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.