Active NPI
Arun Prahash, M.D.
- Interventional Cardiology Physician
- Fayetteville, GA
National Provider Identifier
1912984568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 83511
- Practice address
- 1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110 - Phone
- (770) 716-0051
- NPI assigned
- Dec 26, 2005
- Last updated
- Sep 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 83511 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Mailing address
2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624885 | Other | VA | SOUTHERN HEALTH |
| 304371 | Other | VA | ANTHEM |
| 1912984568 | Medicaid | VA | |
| C10061 | Other | VA | MEDICARE GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Interventional Cardiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W
Suite 2200
Fayetteville, GA 30214
Phone (770) 716-0051
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 29 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Baltimore Heart Associates, P.a. | Cardiovascular Disease | Past | Accepting new patients |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
Organizations & group practices 3
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
dba Sentara Endoscopy Center
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1912984568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 PACES FERRY RD SE STE 1-1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 2200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142110",
"telephone_number": "770-716-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAHASH",
"first_name": "ARUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-26",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "83511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "624885",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "304371",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912984568",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "C10061",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.