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YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE
NPI 1255582003
Internal Medicine - Cardiovascular Disease in Prescott, AZ

Active since October 09, 2008
3120 CLEARWATER DR, PRESCOTT, AZ 86305(928) 771-2400(928) 771-2650 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yavapai Regional Medical Center Physician Care NPPES

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

YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE (NPI 1255582003) is a healthcare organization registered as a cardiovascular disease in Prescott, Arizona and active in the NPI registry since October 2008. The organization lists Lee Livin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255582003
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameYAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Location Address3120 CLEARWATER DRPrescott, AZ 86305-7131
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (928) 759-5987 · Fax (928) 458-2039
Phone(928) 771-2400
Fax(928) 771-2650
Organization SubpartNo
Authorized OfficialLee LivinCfo · (928) 771-5691
Enumeration DateOctober 9, 2008
Last NPPES UpdateApril 4, 2016
✔ NPI 1255582003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 35954
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3120 CLEARWATER DR, Prescott, AZ 86305
Open in Google Maps ↗

Other Names 1

Doing Business AsYavapai Regional Medical Center Physician Care

Other Identifiers 1

Medicare PINZ126775AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yavapai Regional Medical Center Physician Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

138

Medicare enrollment records show 138 clinicians reassign Medicare billing to Yavapai Regional Medical Center Physician Care, which bills Medicare for the services they deliver. Of these, 102 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner48
Cardiovascular Disease (Cardiology)12
Family Practice11
Urology9
Interventional Cardiology8
Orthopedic Surgery8
General Surgery7
Gastroenterology5
13 other specialties30

Nearest to this location (20)

See all 138
David Danowski, MD
Internal Medicine
NPI 1982796686
3120 CLEARWATER DR
Prescott, AZ 86305
(928) 771-3704
✔ PECOS✔ Accepts Medicare0.4 mi
Nathan Liebenstein, ARNP
Nurse Practitioner
NPI 1235657586
3120 CLEARWATER DR
Prescott, AZ 86305
(928) 771-3704
✔ PECOS✔ Accepts Medicare0.4 mi
Roberto Paredes, NP
Nurse Practitioner
NPI 1306616768
3120 CLEARWATER DR
Prescott, AZ 86305
(928) 771-3704
✔ PECOS✔ Accepts Medicare0.4 mi
Shayan Alam, M.D.
Gastroenterology
NPI 1780654988
802 AINSWORTH DR STE A
Prescott, AZ 86301
(928) 771-5548
✔ PECOS✔ Accepts Medicare2.6 mi
Heidi Alton, NP
Nurse Practitioner
NPI 1124595509
802 AINSWORTH DR STE A
Prescott, AZ 86301
(928) 771-5548
✔ PECOS✔ Accepts Medicare2.6 mi
George Gellert, MD
Anesthesiology
NPI 1356312185
802 AINSWORTH DR STE A
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare2.6 mi
Pierre Tibi, MD
Cardiac Surgery
NPI 1811926660
811 AINSWORTH DR SUITE 109
Prescott, AZ 86301
(928) 771-5595
✔ PECOS✔ Accepts Medicare2.6 mi
Samuel Downing, M.D.
Family Practice
NPI 1922137231
1001 DIVISION ST
Prescott, AZ 86301
(928) 775-5567
✔ PECOS✔ Accepts Medicare2.7 mi
Eunjin Lee, MD
Hospice/Palliative Care
NPI 1730678343
1001 DIVISION ST
Prescott, AZ 86301
(928) 775-5567
✔ PECOS✔ Accepts Medicare2.7 mi
Martti Kahkonen, M.D.
Preventive Medicine
NPI 1336211101
1050 GAIL GARDNER WAY STE 100
Prescott, AZ 86305
(928) 777-0700
✔ PECOS2.8 mi
Jeffrey Aguiar, DO
General Surgery
NPI 1801358452
1001 WILLOW CREEK RD STE 1200
Prescott, AZ 86301
(928) 458-2995
✔ PECOS✔ Accepts Medicare2.8 mi
Brent Anderson, DO
Orthopedic Surgery
NPI 1144420472
1001 WILLOW CREEK RD STE 1300
Prescott, AZ 86301
(928) 708-4545
✔ PECOS✔ Accepts Medicare2.8 mi
Bradley Benson, D.O.
Physical Medicine and Rehabilitation
NPI 1619104130
1001 WILLOW CREEK RD STE 3100
Prescott, AZ 86301
(928) 445-4818
✔ PECOS✔ Accepts Medicare2.8 mi
John Giardina, MD
Cardiovascular Disease (Cardiology)
NPI 1821063645
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare2.8 mi
Jorge Gonzalez-Cruz, MD
Neurosurgery
NPI 1386850006
1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301
(928) 458-2996
✔ PECOS✔ Accepts Medicare2.8 mi
Ronald Jones, M.D.
Cardiac Electrophysiology
NPI 1255541876
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare2.8 mi
John Mackenzie, DO
Neurology
NPI 1518078807
1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301
(928) 778-0827
✔ PECOS✔ Accepts Medicare2.8 mi
Soundos Moualla, MD
Interventional Cardiology
NPI 1396853461
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare2.8 mi
Paul Nguyen, MD
Urology
NPI 1699859769
1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301
(928) 408-4000
✔ PECOS✔ Accepts Medicare2.8 mi
Marc Sedwitz, M.D.
Vascular Surgery
NPI 1275613093
1001 WILLOW CREEK RD STE 1200
Prescott, AZ 86301
(928) 458-2850
✔ PECOS✔ Accepts Medicare2.8 mi
See all 138 clinicians

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

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 Yavapai Regional Medical Center Physician Care LLC's NPI number?

The NPI number for Yavapai Regional Medical Center Physician Care LLC is 1255582003. It was assigned to this organization in the NPPES registry on October 9, 2008. The provider is doing business as Yavapai Regional Medical Center Physician Care.

Where is Yavapai Regional Medical Center Physician Care LLC located?

Yavapai Regional Medical Center Physician Care LLC is located at 3120 Clearwater Dr, Prescott, AZ 86305. The listed phone number is (928) 771-2400.

What is Yavapai Regional Medical Center Physician Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Yavapai Regional Medical Center Physician Care LLC enrolled in Medicare?

Yes. Yavapai Regional Medical Center Physician Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yavapai Regional Medical Center Physician Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 138 clinicians in 21 Medicare specialties reassign their Medicare billing to Yavapai Regional Medical Center Physician Care LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (48), Cardiovascular Disease (Cardiology) (12) and Family Practice (11). Of these, 102 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Yavapai Regional Medical Center Physician Care LLC was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.