DR. DEEPA PRASAD MD
NPI 1174838528
Pediatrics - Pediatric Cardiology in Mesa, AZ

Active since August 10, 2010PECOS EnrolledAccepts Medicare Assignment
1432 S DOBSON RD, MESA, AZ 85202(480) 412-6336 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2019, Aug 10, 2016 (2 updates tracked since 2016).

About Dr. Deepa Prasad Md NPPES

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

DR. DEEPA PRASAD MD (NPI 1174838528) is an individual pediatric cardiology provider in Mesa, Arizona, licensed in Arizona (53832) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174838528
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. DEEPA PRASADCredential: MD
Location Address1432 S DOBSON RDMesa, AZ 85202-4768
Mailing Address1432 S Dobson RdMesa, AZ 85202-4768 · (480) 412-6336
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 10, 2010
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1174838528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in AZ · 53832
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1432 S DOBSON RD, Mesa, AZ 85202

Accepted 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. Deepa Prasad Md 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 ID3870751886
PECOS Enrollment IDI20250203001816
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 Deepa Prasad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nutrition, Education
1450 S DOBSON RD STE B221
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 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.

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.

Surgery (Pediatric Surgery)
1432 S DOBSON RD, SUITE 301
MESA, AZ 85202
Physician Assistant (Surgical)
1432 S DOBSON RD, SUITE 301
MESA, AZ 85202
Physician Assistant (Surgical)
1432 S DOBSON RD, SUITE 201
MESA, AZ 85202
Clinic/Center (Physical Therapy)
1432 S DOBSON RD, SUITE 201
MESA, AZ 85202
Surgery (Pediatric Surgery)
1432 S DOBSON RD, STE 301
MESA, AZ 85202
Nurse Practitioner (Pediatrics)
1432 S DOBSON RD
MESA, AZ 85202
Physical Medicine & Rehabilitation (Pain Medicine)
1432 S DOBSON RD, SUITE 201
MESA, AZ 85202
Physician Assistant (Surgical)
1432 S DOBSON RD, SUITE 304
MESA, AZ 85202

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 Deepa Prasad's NPI number?

The NPI number for Deepa Prasad is 1174838528. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is Deepa Prasad located?

Deepa Prasad practices at 1432 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 412-6336.

What is Deepa Prasad's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Deepa Prasad enrolled in Medicare?

Yes. Deepa Prasad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Deepa Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepa Prasad reassigns Medicare benefits to 2 organizations: Banner Physician Super Specialists Arizona LLC (Mesa, AZ) and Children's Physician Services Of South Texas (Corpus Christi, TX). 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 Deepa Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deepa Prasad accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Deepa Prasad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deepa Prasad was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.