DR. PAUL ANTHONY REYES DEL PRADO M.D.
NPI 1033430343
Surgery in Phoenix, AZ

Q: What is Paul Anthony Del Prado's NPI number?

The NPI number for Paul Anthony Del Prado is 1033430343. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Q: What is Paul Anthony Del Prado's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment

93.37/100

CMS Quality Rating

2525 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-1015(602) 344-5149 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Paul Anthony Reyes Del Prado M.d. NPPES

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

DR. PAUL ANTHONY REYES DEL PRADO M.D. (NPI 1033430343) is an individual surgery provider in Phoenix, Arizona, licensed in Arizona (52615) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1033430343

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PAUL ANTHONY REYES DEL PRADOCredential: M.D.

Location Address2525 E ROOSEVELT STPhoenix, AZ 85008-4948

Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5043 · Fax (602) 470-5064

Phone(602) 344-1015

Fax(602) 344-5149

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 21, 2010

Last NPPES UpdateAugust 1, 2016

✔ NPI 1033430343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AZ · 52615

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0101257829 (VA)

2525 E ROOSEVELT ST, Phoenix, AZ 85008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Anthony Reyes Del Prado M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688969116

PECOS Enrollment IDI20160823002782

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

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

District Medical Group, Inc

Same address

Surgery

2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1174856280 (602) 344-1095

Page Hospital

241 mi

Critical Access

501 N NAVAJO DR
Page, AZ 86040

Reassigned Medicare billing, Arizona enrollment
57 clinicians in this Medicare group

NPI 1578515789 (928) 645-2424

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 85008 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

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.57

Promoting Interoperability

Improvement Activities

Cost

62.14

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.

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