PRIYA PRASHER M.D.
NPI 1003341223
Pediatrics in Phoenix, AZ

Active since April 25, 2017PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1900 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2020, Jul 20, 2020, Apr 25, 2017 (3 updates tracked since 2017).

About Priya Prasher M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYA PRASHER M.D. (NPI 1003341223) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (60917) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1003341223
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRIYA PRASHERCredential: M.D.
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (304) 691-1390
Sole ProprietorNo
Enumeration DateApril 25, 2017
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1003341223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 60917
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1919 E THOMAS RD, Phoenix, AZ 85016

Secondary Practice Location 1

Location 11600 Medical Center DrHuntington, WV 25701-3656 · Phone (304) 691-1374 · Fax (304) 691-1390

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Prasher M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Priya Prasher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priya Prasher's NPI number?

The NPI number for Priya Prasher is 1003341223. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Priya Prasher located?

Priya Prasher practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-1900.

What is Priya Prasher's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Priya Prasher enrolled in Medicare?

Yes. Priya Prasher is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Priya Prasher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Prasher reassigns Medicare benefits to 2 organizations: Phoenix Children's Hospital (Phoenix, AZ) and Denver Health And Hospital Authority (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priya Prasher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Prasher was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.