Kumar Praful Daulat, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2635 Issued in AZ

Practice address

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238

Phone

(602) 493-3677

Fax

(602) 485-5156

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sun Valley Family Care PCGroup PAC ID 3779846118, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kumar.daulat@svfc.directbygreenway.com

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.

• Sun Valley Family Care PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1992078711
  Medicare reassignment Care Compare group NPD Authorized official
• Sun Valley Family Vate

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1518921550
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1992847651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322238",
            "telephone_number": "602-493-3677",
            "fax_number": "602-485-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322238",
            "telephone_number": "602-493-3677",
            "fax_number": "602-485-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULAT",
        "first_name": "KUMAR",
        "middle_name": "PRAFUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182874",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert William Daughenbaugh Jr., LISAC
• Allison Daugherty
• Jeffrey Daugherty, LCSW
• Leslie Daugherty, LMFT
• Misty Elaine Daughters, AG-ACNP
• Claudia Daurham
• Austin Daus, DPT
• Therese Dautheribes, M.C.
• Jesus Abraham Davalos
• Maikel Anthony Davalos, ARNP

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.

Verify at the official NPI Registry.