Provider Type Icon

DR. ROOPASHREE PRABHUSHANKAR MD NPI 1831402429


NPI Information

NPI: 1831402429
Provider Name: DR. ROOPASHREE PRABHUSHANKAR, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Organization: GILA RIVER HEALTH CARE CORPORATION

PECOS Registration: Yes

Address:
612 W BASELINE RD
MESA, AZ
ZIP 85210
Phone: (480) 834-9039
Get Directions

DR. Roopashree Prabhushankar, MD is an endocrinology and diabetes and metabolism internal medicine in Mesa, AZ with 25 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Roopashree Prabhushankar, MD NPI is 1831402429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

612 W BASELINE RD
MESA, AZ
ZIP 85210-041
Phone: (480) 834-9039
Fax: (480) 964-7802

The NPI 1831402429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 9/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training Program2013020803MISSOURINo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism49977ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z175907MEDICARE PINARIZONA
2019985MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.